Organization · Type 2 NPI
Aurum LLC
Gerontology Nurse Practitioner · Boise, ID
NPI number
1104705953
Active
Practice location
11696 W Gabrielle Ct
Boise, ID 83713-7812
Fax (718) 362-1651
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1104705953
Aurum LLC's National Provider Identifier is 1104705953, issued on Aug 27, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boise, ID. The record was last updated on Aug 27, 2025.