NPI age
15 years
Enumerated 2011-02-03
Across 374 active nurse practitioner providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 12224429 | CAQH |
| 01 | 036263 | REGENCE |
| 05 (ID) | 1790081032 | |
| 01 | 8P321 | BLUE CROSS |
Multi-provider organization. 20 individual providers on file at this primary address.
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