NPI age
19 years
Enumerated 2006-06-04
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | C1658 | BLUE CROSS OF IDAHO |
| 05 (ID) | 805681800 | |
| 01 (ID) | 000010027899 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 350052262 | RAILROAD MEDICARE |
| 01 (ID) | 820530992 | TAX ID # FOR OTHER INS. |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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