VALERI GRAVE PAC
NPI 1780010967
Physician Assistant in Boise, ID

Q: What is Valeri Grave's NPI number?

The NPI number for Valeri Grave is 1780010967. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Q: What is Valeri Grave's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Valeri Grave was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since September 19, 2013

8971 W OVERLAND RD, BOISE, ID 83709(208) 378-4288(208) 378-4297 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Valeri Grave Pac NPPES

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

VALERI GRAVE PAC (NPI 1780010967) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1220) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1780010967

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVALERI GRAVECredential: PAC

Location Address8971 W OVERLAND RDBoise, ID 83709-1651

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6522 · Fax (208) 955-6503

Phone(208) 378-4288

Fax(208) 378-4297

Sole ProprietorNo

Enumeration DateSeptember 19, 2013

Last NPPES UpdateDecember 16, 2016

✔ NPI 1780010967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA-1220

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0003782 (CO)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0003782 (CO)

8971 W OVERLAND RD, Boise, ID 83709

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Other Providers at the Same Location NPPES 17

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

KALIN DANIAL LISTER STUDENT

Physician Assistant