Organization · Type 2 NPI
East Boise County Medical Clinic
Family Nurse Practitioner · Boise, ID
NPI number
1255608238
Active
Practice location
3852 Highway 21
Boise, ID 83716
Fax (208) 392-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1255608238
East Boise County Medical Clinic's National Provider Identifier is 1255608238, issued on Nov 19, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Nov 19, 2011.