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

Miss. Autumn L Martin, PA

Individual provider Physician Assistant · NPI 1578043865

Miss. Autumn L Martin, PA is a Physician Assistant in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 W Fort St # 111
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1319
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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-1632

Record details

NPI number1578043865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 16, 2018
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

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