NPI age
18 years
Enumerated 2007-08-22
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 147241447 | |
| 01 (ID) | 1427241447 | REGENCE BLUE SHIELD |
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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