NPI age
19 years
Enumerated 2007-03-08
Across 658 active nurse practitioner providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CS40830 | ID BOARD OF PHARMACY |
| 01 (ID) | NP-1674A | IDAHO |
| 01 (WA) | P00450009 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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