Organization · Type 2 NPI
Abundant Life Health Care PC
Family Nurse Practitioner · Boise, ID
NPI number
1386750552
Active
Practice location
1617 W Jefferson St
Boise, ID 83702-5111
Fax (208) 433-9372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-541A (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1386750552
Abundant Life Health Care PC's National Provider Identifier is 1386750552, issued on Aug 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.