Healthcare Provider Details

I. General information

NPI: 1588589170
Provider Name (Legal Business Name): DR WHITNEY PARNELL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 E. ST LUKE'S ROAD SUITE 200
MERIDIAN ID
83642
US

IV. Provider business mailing address

3485 N COLE RD
BOISE ID
83711-0002
US

V. Phone/Fax

Practice location:
  • Phone: 208-615-3847
  • Fax:
Mailing address:
  • Phone: 208-615-3847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: M WHITNEY PARNELL
Title or Position: PRESIDENT
Credential: MD
Phone: 208-615-3847