MEDICARE: MORGAN ANNICE TOLLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1588513261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ANNICE TOLLEY

Provider Business Mailing Address
First Line	:	1053 N CRYSTAL COVE AVE
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-9284
Country	:	US
Telephone Number	:	509-771-6253
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 N LIBERTY ST STE 206
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-8729
Country	:	US
Telephone Number	:	208-302-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ MORGAN ANNICE TOLLEY ” Practice Location

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