NPI age
20 years
Enumerated 2005-10-17
Across 58 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NPVM7 | BLUE CROSS |
| 01 | 000010151591 | BLUE SHIELD |
| 05 (ID) | 1164411864 |
Solo or small practice. No other active providers share this practice address in NPPES.
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