Physician Assistant
MAURISSA DONANGELO PA-C, PhD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508355538 · enumerated 2018-05-04 · record updated 2023-02-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MAURISSA RADAKOVICH
Addresses and phones
- Practice location 526 SHOUP AVE W STE E, TWIN FALLS, ID, 83301-5050 (208) 736-3362 Fax (208) 736-3382 Google Maps Apple Maps OpenStreetMap
- Mailing address 1969 9TH AVE E, TWIN FALLS, ID, 83301-6707 (801) 712-1621 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License PA-1970 ID
In this directory
Locations and evidence
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Practice location
TWIN FALLS, ID, 833015050
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.