is a Nurse Practitioner in Boise, Idaho. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1891904132. The last update date is .
's current location address is 1075 S Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2083678333 and fax number 2083672003. The mailing address for is 1075 S Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1075 S Curtis Rd, Boise, Idaho |
| Phone Number | 2083678333 |
| Fax Number | 2083672003 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891904132 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1075 S Curtis Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061350 |
| Phone Number | 2083678333 |
| Fax Number | 2083672003 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP817A |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80705880 | ID | -- | |
| 807746300 | ID | -- |
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