Saint Alphonsus Physician Services Inc in Boise - Nurse Practitioner
Saint Alphonsus Physician Services Inc - NPI 1073559449
Saint Alphonsus Physician Services Inc is a Nurse Practitioner in Boise, Idaho. Saint Alphonsus Physician Services Inc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Saint Alphonsus Physician Services Inc is 1073559449. The last update date is 2007-12-24.
Saint Alphonsus Physician Services Inc's current location address is 1673 Shoreline Drive, Boise, Idaho. You can contact this provider via phone number 2084298311 and fax number 2084298310. The mailing address for Saint Alphonsus Physician Services Inc is 1673 Shoreline Drive, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Alphonsus Physician Services Inc |
|---|---|
| Address | 1673 Shoreline Drive, Boise, Idaho |
| Phone Number | 2084298311 |
| Fax Number | 2084298310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reilly G. Janelle |
| Telephone Number | 2083676490 |
NPI Number Detail
| NPI Number | 1073559449 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-12-24 |
Provider Mailing Address Detail
| Address | 1673 Shoreline Drive |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837026749 |
| Phone Number | 2084298311 |
| Fax Number | 2084298310 |
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 |
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What is the Saint Alphonsus Physician Services Inc's 1073559449?
The Saint Alphonsus Physician Services Inc's NPI (National Provider Identifier) Number is 1073559449. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Saint Alphonsus Physician Services Inc?
The Saint Alphonsus Physician Services Inc is situated at 1673 Shoreline Drive, in the city of Boise, state of ID, with the zip code 837026749.
What is Saint Alphonsus Physician Services Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Saint Alphonsus Physician Services Inc's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073559449 to Saint Alphonsus Physician Services Inc?
The Saint Alphonsus Physician Services Inc received its 1073559449 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the Saint Alphonsus Physician Services Inc's details last updated?
The information pertaining to the Saint Alphonsus Physician Services Inc, including its address, specialty, and other details, was most recently updated on 2007-12-24.
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