NPI age
8 years
Enumerated 2018-02-12
Across 79 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1770129322 | |
| 05 (OR) | 1396245742 | |
| 05 (ID) | 1396245742 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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