NPI age
14 years
Enumerated 2011-08-03
Across 1280 active nurse practitioner providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 2013847 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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