NPI age
5 years
Enumerated 2020-11-01
Across 374 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1023618659 |
Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.
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