NPI age
19 years
Enumerated 2007-01-26
Across 374 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149937 | REGENCE BLUE SHIELD |
| 01 (ID) | NPSB4 | BLUE CROSS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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