NPI age
20 years
Enumerated 2006-01-31
Across 56 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 13D0521509 | CLIA LAB ID NUMBER |
| 05 (ID) | 805192300 | |
| 01 (ID) | NP-281A | IDAHO STATE LICENSE |
| 01 (HI) | 000010139602 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | NPXP6 | BLUE CROSS OF IDAHO |
| 01 (ID) | N-14600 | IDAHO STATE LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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