NPI age
19 years
Enumerated 2006-07-19
Across 16 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 781786 | DESERET |
| 01 (ID) | 500029223 | RAILROAD MEDICARE |
| 01 (ID) | 820367722C012 | TRICARE |
| 01 (ID) | NPNB1 | BLUE CROSS OF IDAHO |
| 01 (ID) | 820367722A010 | TRICARE |
| 01 (ID) | 000010016728 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 000010016729 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 805800900 |
Part of a multi-provider practice. 223 other active providers share this practice address in NPPES.
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