Organization · Type 2 NPI

Saint Alphonsus Regional Medical Center Inc

Nurse Practitioner · Boise, ID

NPI number 1083815294 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706

Fax (208) 322-9560

Mailing address

PO Box 190930
Boise, ID 83719-0930

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XM2 (ID)

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 1083815294

Saint Alphonsus Regional Medical Center Inc's National Provider Identifier is 1083815294, issued on May 29, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Sep 11, 2026.