NPI age
18 years
Enumerated 2007-05-31
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP830A | NP LICENSE NUMBER |
| 05 (ID) | M8073867 | |
| 01 (ID) | N23998 | RN LICENSE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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