P Praxis·MD
● Active Type 1 · Individual

Elizabeth B Judy-Fudge, PA

Physician Assistant·Boise, ID· NPI 1083123277 · Enumerated 2017 · 8 years on NPI
Judy-Fudge is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
8 years
Enumerated 2017-09-20
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
8 years
↓ 7 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
1072 N Liberty St Ste 100
Boise, ID 837048708
📞 2083021200fax 2083021255
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
📞 2083675170fax 2083675180

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2710 Harney St Ste 202
Laramie, WY 820722899
📞 3077423242
Location 3
10798 W Overland Rd
Boise, ID 837091329
📞 2083773368fax 2083224691

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-1680 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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