NPI age
15 years
Enumerated 2010-10-19
Across 56 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N32302 | N32302 |
| 01 (ID) | 60035 | APRN-CNP |
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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