NPI age
19 years
Enumerated 2006-09-08
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010148209 | BLUE SHIELD |
| 01 | NPJM1 | BLUE CROSS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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