NPI age
19 years
Enumerated 2006-08-16
Across 658 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807587800 | |
| 01 (WA) | 0214273 | WA DEPART OF LABOR |
| 01 (ID) | 000010158523 | REGENCE BLUESHIELD |
| 01 (ID) | NPYA3 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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