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

Individual provider Pediatrics Physician · NPI 1023404811

Annis Wakelee Vargas, MD is a Pediatrics Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 203
Boise, ID 83701
Phone: (208) 302-5800
Fax: (208) 302-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-14080 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 10077801-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 10077801-8905 (UT)

Record details

NPI number1023404811
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2015
Last updated in NPPESJuly 19, 2018
Mailing address3340 E Goldstone Way, Meridian, ID 83642

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