Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boise Skin Clinic PLLC

Organization Dermatology Physician · NPI 1104220797

Boise Skin Clinic PLLC is a Dermatology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1636 S Hadley Ave
Boise, ID 83709-2684
Phone: (208) 209-7898
Fax: (208) 258-2079
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M-9342 (ID)

Record details

NPI number1104220797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marnie Ririe — Manager · (208) 258-2078
NPI enumeratedOctober 10, 2014
Last updated in NPPESJanuary 22, 2019
Mailing address1636 S Hadley Ave, Boise, ID 83709-2684

Other providers in Boise