P Praxis·MD
● Active Type 1 · Individual

Colleen Loughran, NP

Nurse Practitioner·Boise, ID· NPI 1912023177 · Enumerated 2007 · 19 years on NPI
Loughran is 1 of 186 nurse practitioner providers in Boise and 1 of 658 in Idaho.
NPI age
19 years
Enumerated 2007-03-21
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
ID, IL, CA, PA
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
4 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
3308 N Milwaukee St Ste 120
Boise, ID 837041007
📞 2089911636fax 2089911985
Mailing address
10435 W Shadybrook Dr
Boise, ID 837043945
📞 2089911636fax 2089911985

Additional practice locations

1 secondary location on file with NPPES.

Location 2
511 N Hollywood Way
Burbank, CA 915053406
📞 8663892727

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #74406IL license #209029135PA license #TP004694BCA license #NP12463 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    CA license #12463 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (CA) 1912023177 NPI
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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