Individual provider · Type 1 NPI
Karen L. Godard, RNC, CPNP
Pediatric Nurse Practitioner · Nampa, ID
NPI number
1033102579
Active
Practice location
1305 3rd St S
Nampa, ID 83651-3903
Fax (208) 475-5710
Mailing address
1910 University Dr, Sn 128
Boise, ID 83725-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | NP-822A; N36983 (ID) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1033102579
Karen L. Godard, RNC, CPNP's National Provider Identifier is 1033102579, issued on Aug 30, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nampa, ID. The record was last updated on Jul 11, 2008.