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Boise Skin Clinic Pllc

Dermatology Physician in Boise, ID · enumerated 2014 · authorized official Marnie Ririe, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104220797

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Registry record

Entity type Organization (Type 2)
Legal business name Boise Skin Clinic Pllc
Practice address 1636 S Hadley Ave, Boise, ID, 83709
Fax (208) 258-2079
Enumeration date Oct 10, 2014
Last updated in NPPES Jan 22, 2019

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License M-9342 (ID) Primary

Authorized official

Name Marnie Ririe
Title Manager

Other identifiers

Identifier Type State Issuer
1134170855 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-22. Verify at npiregistry.cms.hhs.gov.
Where is Boise Skin Clinic Pllc located?
The practice location on file with NPPES is in Boise, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-22.