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

Tracey Huddleston, PA

Individual provider Physician Assistant · NPI 1356968325

Tracey Huddleston, PA is a Physician Assistant in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
Specialties on file
2
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

700 Caldwell Blvd
Nampa, ID 83651-1707
Phone: (208) 466-6567
Fax: (208) 466-7922
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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-1961 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1356968325
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

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