NPI age
12 years
Enumerated 2013-07-31
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | G8937328 | MEDICARE |
| 01 (WA) | 0338594 | L&I |
Solo or small practice. No other active providers share this practice address in NPPES.
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