FELICIA LYNN BERRIDGE NPI 1861101636

NPI Information

NPI: 1861101636
Provider Name: FELICIA LYNN BERRIDGE
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2222
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Felicia Lynn Berridge is a pediatric surgery surgery in Boise, ID. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Felicia Lynn Berridge NPI is 1861101636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2222

The enumeration date for this NPI number is 11/21/2022 and was last updated on 11/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	$$$$$$$$$	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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