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ANDREA ELIZABETH CORLISS WHNP-BC
NPI 1417749615
Nurse Practitioner - Women's Health in Meridian, ID

Active since May 21, 2025
2939 W EXCURSION LN, MERIDIAN, ID 83642(208) 385-7711 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Elizabeth Corliss Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ELIZABETH CORLISS WHNP-BC (NPI 1417749615) is an individual women's health provider in Meridian, Idaho, licensed in Idaho (4671950) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417749615
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameANDREA ELIZABETH CORLISSCredential: WHNP-BC
Location Address2939 W EXCURSION LNMeridian, ID 83642-5308
Mailing Address2321 S Ormond StBoise, ID 83705-4439
Phone(208) 385-7711
Sole ProprietorNo
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1417749615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in ID · 4671950
2939 W EXCURSION LN, Meridian, ID 83642
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAVIN GUARD DMS, PA-C, MPAS
Physician Assistant (Medical)
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
LAUREN NUMEDAHL RN
Registered Nurse
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
JANESSA TENNEY PA-C
Physician Assistant
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
JACQUELINE GRIFFIN NP
Nurse Practitioner (Family)
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
MISS ANSLEY PUGH NP
Nurse Practitioner (Family)
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (870) 265-0298
MADELYN HEFFNER FNP
Integrative Medicine
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
MR. ANDREW WILLIAM BAUKOL PA-C
Physician Assistant
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711
SHERIE HINDS CBC
Lactation Consultant, Non-RN
2939 W EXCURSION LN
MERIDIAN, ID 83642
Ada County (208) 385-7711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Corliss's NPI number?

The NPI number for Andrea Corliss is 1417749615. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Andrea Corliss located?

Andrea Corliss practices at 2939 W Excursion Ln, Meridian, ID 83642. The listed phone number is (208) 385-7711.

What is Andrea Corliss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Andrea Corliss was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.