NPI age
8 years
Enumerated 2018-01-23
Across 31 active registered nurse providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1609046671 | |
| 01 (ID) | 1370131 | PART B MEDICARE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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