NPI age
15 years
Enumerated 2010-07-13
Across 8 active nurse practitioner providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1871805390 |
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
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