NPI age
19 years
Enumerated 2006-08-31
Across 56 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | AR5426 | REGENCE BLUE SHIELD |
| 05 (WA) | 9620071 |
Solo or small practice. No other active providers share this practice address in NPPES.
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