NPI age
19 years
Enumerated 2007-01-30
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | NPPU5 | BLUE CROSS |
| 01 | 820525763 | COMMERCIAL |
| 05 (ID) | 806957500 | |
| 01 | 000010147752 | REGENCE BLUE SHIELD |
| 05 (OR) | 278542 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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