NPI age
20 years
Enumerated 2006-04-10
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8065779 | |
| 05 (ID) | 1417910506 |
Solo or small practice. No other active providers share this practice address in NPPES.
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