SHARENE E WATSEN


Address: 403 South 11th St, Ste 100, Boise, ID 83702-6906
Phone: 2084290300

SHARENE E WATSEN (NPI# 1265464036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265464036
Entity Type Individual
Full Name SHARENE E WATSEN
Other Name SHARENE E GOSSEN
Credential PA-C
Practice Address 403 South 11th St
Ste 100
Boise
ID 83702-6906
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2084290300
Practice Fax Number 2084290305
Mailing Telephone 2083812222
Enumeration Date 2006-07-06
Last Update Date 2013-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA579 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 403 SOUTH 11TH ST
STE 100
City BOISE
State ID
Zip Code 83702-6906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346272127 Richard B Christensen Internal Medicine 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06

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NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
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1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073915963 Jessica Bishop Physician Assistant 1499 W Hays St, Boise, ID 83702-5029 2014-09-23
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1710231238 Alaina A Mccoy Physician Assistant 100 E. Idaho St., Suite 400, Boise, ID 83712 2012-11-06
1447534821 Addie Barnes Physician Assistant 900 N Liberty, Ste 101, Boise, ID 83704 2011-10-04
1134358104 Eric Culbertson Physician Assistant 633n 4th St, Boise, ID 83702-4510 2009-07-10
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1598921595 Karen B. Barrett Physician Assistant 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 2008-07-30
1972672111 Kara Mcgee Physician Assistant 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 2006-11-06
1508802091 Heidi R Munro Physician Assistant 8000 S Federal Way, Boise, ID 83716-9632 2006-06-22
1972545473 Heather Spero Physician Assistant 500 West Fort Street, Boise, ID 83702-4598 2006-06-11
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Competitor

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City BOISE
Zip Code 83702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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