NPI age
7 years
Enumerated 2019-01-23
Across 658 active nurse practitioner providers in Idaho.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | HANEYLJ296LRC1451398 | DRIVERS LICENSE |
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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