Wayment, Kristi L
Wayment, Kristi L is an sole proprietor health care provider with primary practice located at 916 E. Wright St. , Boise ID 83706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wayment, Kristi L can be contacted via phone (208) 631-5257.Contact Information
Primary practice address
916 E. Wright St.
Boise ID 83706
Phone: (208) 631-5257
Fax: (208) 433-1738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA325 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-325 | Idaho |
Profile Details
NPI number | 1649396177 |
---|---|
LBN Legal business name | Wayment, Kristi L |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 22nd, 2007 |
Last updated | Apr 13th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649396177 | NPPES |
Idaho | MEDICAID | 806326700 |
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