NPI age
18 years
Enumerated 2008-04-11
Across 658 active nurse practitioner providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AK) | NP57911 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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