Idahodhwbh3 Np in Caldwell - Nurse Practitioner

Idahodhwbh3 Np - NPI 1881722171

Idahodhwbh3 Np is a Nurse Practitioner in Caldwell, Idaho. Idahodhwbh3 Np practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Idahodhwbh3 Np is 1881722171. The last update date is 2009-11-02.

Idahodhwbh3 Np's current location address is 3402 Franklin Rd, Caldwell, Idaho. You can contact this provider via phone number 2084590092 and fax number 2084547714. The mailing address for Idahodhwbh3 Np is 3402 Franklin Rd, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Idahodhwbh3 Np
Address 3402 Franklin Rd, Caldwell, Idaho
Phone Number 2084590092
Fax Number 2084547714
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FIELD OPER
Authorized Official Name Hurt L Todd
Credentials M.S.
Telephone Number 2084557057

NPI Number Detail

NPI Number 1881722171
Provider Enumeration Date 2007-03-01
Last Updated Date 2009-11-02

Provider Mailing Address Detail

Address 3402 Franklin Rd
City Caldwell
State Idaho (ID)
Post Code 836056932
Phone Number 2084590092
Fax Number 2084547714

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Definition:
(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 or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8053399 ID --
HW348 BLUE CROSS OF IDAHO
10018824 BLUESHIELD

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FAQs about Idahodhwbh3 Np

What is the Idahodhwbh3 Np's unique identification number?

The Idahodhwbh3 Np has been assigned the NPI (National Provider Identifier) Number 1881722171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Idahodhwbh3 Np is geographically located?

The Idahodhwbh3 Np is physically situated at the following location: 3402 Franklin Rd, Caldwell, ID, 836056932.

What is Idahodhwbh3 Np's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Idahodhwbh3 Np is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

When was the Idahodhwbh3 Np's 1881722171 issued?

The Idahodhwbh3 Np's 1881722171 was issued on 2007-03-01.

As of what date were the details related to Idahodhwbh3 Np most recently updated or revised?

The information pertaining to Idahodhwbh3 Np, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-02.

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