NPI age
10 years
Enumerated 2016-03-29
Across 1280 active nurse practitioner providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | F1215337 | AANP |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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