NPI age
11 years
Enumerated 2014-10-06
Across 374 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NH) | 07060823 | NH APRN LICENSE |
| 01 (ID) | 61523 | ID APRN LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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