NPI age
11 years
Enumerated 2015-05-12
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1023496908 | REGENCE BLUE SHIELD OF IDAHO |
| 05 (ID) | 1023496908 | |
| 05 (WA) | 1023496908 | |
| 01 (ID) | 1023496908 | BLUE CROSS OF IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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