Angela Ann Coyne, PA Valid NPI
Individual provider · Medical Physician Assistant · Eagle, ID
- NPI
- 1538276928
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- PA-512 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-23
- Last updated
- 2022-11-03
Practice location
1605 E Riverside Drive
Eagle, ID 83616-6237
(208) 939-6227