Individual provider · Type 1 NPI

William Christopher Egolf

Nurse Practitioner · Boise, ID

NPI number 1083296461 Active

Practice location

6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107

Fax (208) 302-0055

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 · (248) 849-3000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X77436 (ID)
Nurse Practitioner 363L00000X4704303974 (MI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083296461

William Christopher Egolf's National Provider Identifier is 1083296461, issued on Apr 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Dec 11, 2023.