NPI age
13 years
Enumerated 2012-10-24
Across 658 active nurse practitioner providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0354926 | |
| 05 (WA) | 1710230974 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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