Organization · Type 2 NPI

Asthma & Allergy of Idaho

Nurse Practitioner · Twin Falls, ID

NPI number 1265635171 Active

Practice location

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164

Fax (208) 734-4654

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

4 other providers at this address

Other nurse practitioner providers in Twin Falls

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NPI record

NPI: 1265635171
Entity type: Organization (Type 2)
Issued: Jun 7, 2007
Last updated: Jan 14, 2021
Status: Active

Other names

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Asthma & Allergy of Idaho Mid Level Group · other name
Asthma & Allergy of Idaho Mid Level Group · other name

Authorized official

Andrew Wickern
Credentialing Specialist
(208) 734-6091

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265635171

Asthma & Allergy of Idaho's National Provider Identifier is 1265635171, issued on Jun 7, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Twin Falls, ID. The record was last updated on Jan 14, 2021.