Search › Idaho › 363A00000X
Callysta Johnston, PA-C
NPI 1194489898 · on the registry since 2021
Practice
- Address
- 4949 S Hillsdale Ave
Meridian, ID 83642 - Phone
- (208) 706-6400
- Clinicians at this address
- 14
Additional practice sites
- 500 W Fort St, Boise, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho