NPI age
20 years
Enumerated 2005-10-12
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 9366804 | |
| 01 | 0166054 | L & I |
| 01 | 8933341 | L & I CRIME VICTIMS |
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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