| Doctor Name: | CHRISTA INZERCASTILLO |
| NPI Number: | 1225282486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA783 |
| Business Practice Address: | 1281 E Iron Eagle Dr Eagle, ID - 836166599 |
| Business Phone Number: | 2089395535 |
| Business Fax Number: | |
| Mailing Address: | 1281 E Iron Eagle Dr, EAGLE |
| State: | ID |
| Postal Code: | 836166599 |
| Phone Number: | 2089395535 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2008 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |