Erin Hagen
Erin Hagen is a Physician Assistant in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 4
- Licensed in
- ID
- In the registry since
- 2022
Practice location Address checks out
115 W Main St Ste 101Boise, ID 83702-7304
Phone: (208) 381-3915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2331 (ID) |
|---|
Record details
| NPI number | 1346970399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 13, 2022 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
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