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Cheryl Ann Conlin

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

(208) 381-2094 (805) 286-3826

PECOS Enrollment

This provider is enrolled in PECOS as CHERYL CONLIN.

Based on the most recent information from CMS, provider Cheryl Ann Conlin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1770026270
Provider Type
Individual
Full Name
Conlin, Cheryl Ann
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/1/2016
Last Updated
7/7/2020

Contact Information

Practice Location

190 E Bannock St, Boise, ID 83712-6241

(208) 381-2094

(208) 381-1791

Mailing Location

PO Box 1108, Corvallis, OR 97339-1108

(805) 286-3826

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA-1875 Idaho
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 10166960-1206 Utah
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 10166960-8906 Utah

Cheryl Ann Conlin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Neisen, Misty

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Nizich, Samantha Marie

Murphy, Caroline

Collins, Brittany

Christesen, Celeste Renee

Bowman, Dustin K

Kehlenbrink, Angela M

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Johnson, Connor