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

MS. Penny Michelle Faires, MD

Individual provider Family Medicine Physician · NPI 1700827508

MS. Penny Michelle Faires, MD is a Family Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 367-6030
Fax: (208) 367-6123
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MR0824 (ID)

Record details

NPI number1700827508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJuly 13, 2026

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