NPI age
17 years
Enumerated 2009-02-05
Across 56 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010171795 | BS |
| 05 (ID) | 808284700 | |
| 01 (ID) | NP311 | BC |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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