NPI age
10 years
Enumerated 2016-04-15
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 53509 | IDAHO NP LICENSE |
| 01 (ID) | N41662 | IDAHO RN LICENSE |
| 01 (ME) | RN54644 | MAINE RN LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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