NPI age
11 years
Enumerated 2014-07-17
Across 1280 active nurse practitioner providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 1871900225 | FCHN |
| 01 (ID) | 1871900225 | BLUE CROSS OF IDAHO |
| 01 (WA) | 1871900225 | MOLINA HEALTHCARE OF WA |
| 05 (ID) | 1871900225 | |
| 01 (ID) | 1871900225 | REGENCE BLUE SHIELD |
| 01 (ID) | 1871900225 | IPN |
| 05 (WA) | 1871900225 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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