Individual provider · Type 1 NPI
Elizabeth Balleweg
Primary Care Nurse Practitioner · Boise, ID
NPI number
1295372308
Active
Practice location
2306 N 31st St
Boise, ID 83703-5628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 63144 (ID) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1295372308
Elizabeth Balleweg's National Provider Identifier is 1295372308, issued on Dec 9, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boise, ID. The record was last updated on Dec 9, 2019.