MISS ANGHARAD SUPE LYON (PA-C) – Student in an Organized Health Care Education/Training Program, NPI 1164596128

MISS ANGHARAD SUPE LYON (PA-C) is a healthcare provider. based in Pocatello, Idaho. specializing in Student in an Organized Health Care Education/Training Program. They hold the professional credentials PA-C. They hold a License No. PA-365 (ID). The NPI Number for MISS ANGHARAD SUPE LYON (PA-C) is 1164596128

Main info

Female
Name
MISS ANGHARAD SUPE LYON (PA-C)
NPI
1164596128
Phone
(208) 282-2330
Address
ISU STUDENT HEALTH CTR
Enumeration Date
20 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MISS ANGHARAD SUPE LYON (PA-C)

  • ISU STUDENT HEALTH CTR

    921 S. 8TH ST.

    POCATELLO, ID 832090001

    Phone: (208) 282-2330

    Fax: (208) 282-4036

    Type: Location

  • 69, Foothill Boulevard, Pocatello, Bannock County, Idaho, 83204, United States

    POCATELLO, ID 832044063

    Phone: (208) 282-2330

    Fax: (208) 282-4036

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83209)

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Reviews

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Frequently asked questions

Can I cross-check MISS ANGHARAD SUPE LYON (PA-C) using NPI 1164596128?
NPI 1164596128 belongs to MISS ANGHARAD SUPE LYON (PA-C); compare other details if you need extra assurance.
Is MISS ANGHARAD SUPE LYON (PA-C) shown as active in public data?
Registry records indicate MISS ANGHARAD SUPE LYON (PA-C) maintains an active NPI.
What expertise is attributed to MISS ANGHARAD SUPE LYON (PA-C)?
MISS ANGHARAD SUPE LYON (PA-C)'s specialty line reads Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISS ANGHARAD SUPE LYON (PA-C)?
Travel planning: use Pocatello, Idaho as the reference point for MISS ANGHARAD SUPE LYON (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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