Provider Demographics
NPI:1437403441
Name:NUTTING, RACHEL ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:NUTTING
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 190930
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83719-0930
Mailing Address - Country:US
Mailing Address - Phone:208-367-5170
Mailing Address - Fax:
Practice Address - Street 1:6140 W CURTISIAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-0109
Practice Address - Country:US
Practice Address - Phone:208-302-0130
Practice Address - Fax:208-302-0135
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDPA-1019363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant