NPI age
7 years
Enumerated 2018-11-16
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1255800462 | |
| 05 (WA) | 1255800462 | |
| 01 (ID) | 1912458787 | GROUP NPI |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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