NPI age
20 years
Enumerated 2005-10-19
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010150820 | BLUE SHIELD |
| 05 (ID) | 806516900 | |
| 01 | NPTT1 | BLUE CROSS OF ID |
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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