Healthcare Provider Details

I. General information

NPI: 1245321942
Provider Name (Legal Business Name): DARYN J. BARNES PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 CALDWELL BLVD
NAMPA ID
83651-1505
US

IV. Provider business mailing address

PO BOX 191050
BOISE ID
83719-1050
US

V. Phone/Fax

Practice location:
  • Phone: 208-466-6567
  • Fax: 208-466-7922
Mailing address:
  • Phone: 208-955-6500
  • Fax: 208-955-6501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA-679
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: