NPI age
6 years
Enumerated 2020-03-31
Across 1280 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP145730 | BOARD OF NURSING |
| 05 (ID) | 1598393050 | |
| 01 (ID) | 66135 | BOARD OF NURSING- CERTIFIED NP/APRN |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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