NPI age
19 years
Enumerated 2007-03-06
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | 122180 | NURSING LICENSE # |
| 01 (ID) | NP-941 | IDAHO NURSING LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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