- Practice location
- 6165 W Emerald St, Boise, ID 83704-8613
- Phone
- 208-302-3900
- Fax
- 208-302-3955
- Last updated
- September 3, 2025
Mariah Ollive is a Physician Assistant based in Boise, ID. Mariah Ollive practices in Boise, ID and has the professional credentials of PA-C. The NPI Number for Mariah Ollive is 1467134866 and holds a License No. 1871560 (ID). The current practice location address for Mariah Ollive is 6165 W Emerald St, Boise, ID 83704-8613 and can be reached out via phone at 208-302-3900 and via fax at 208-302-3955.
Provider Profile Details
- NPI Number
- 1467134866
- Provider Name
- Mariah Ollive
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6165 W Emerald St, Boise, ID 83704-8613
- Phone Number
- 208-302-3900
- Fax Number
- 208-302-3955
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2023
- Last Update Date
- September 3, 2025
- Certification Date
- September 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6165 W Emerald St
Boise, ID 83704-8613 - City
- Boise
- State
- Idaho
- Zip
- 83704-8613
- Phone Number
- 208-302-3900
- Fax Number
- 208-302-3955
Provider Business Mailing Address Details
- Address
- Po Box 190930
Boise, ID 83719-0930 - City
- Boise
- State
- ID
- Zip
- 83719-0930
- Phone Number
- 208-302-9342
- Fax Number
- 208-367-5180
License Information
- License Number (1)
- 1871560
- License State (1)
- ID
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Boise, ID
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Frequently Asked Questions
What is the NPI number of Mariah Ollive, PA-C?
The NPI number of Mariah Ollive, PA-C is 1467134866. It was assigned on August 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Mariah Ollive, PA-C?
Mariah Ollive, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ID under license number 1871560.
Where does Mariah Ollive, PA-C practice?
The practice location is 6165 W Emerald St, Boise, ID 83704-8613. The office can be reached at 208-302-3900 (phone) or 208-302-3955 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467134866 directly on the NPPES registry website.