NPI age
2 years
Enumerated 2024-05-14
Across 658 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 114079955 | RN |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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