Individual provider · Type 1 NPI

Samuel Ishimwe

Peer Specialist · Boise, ID

NPI number 1497619589 Active

Practice location

9428 W Fairview Ave
Boise, ID 83704-8101

Call (208) 246-9902 Map

Mailing address

723 S Coral Pl
Boise, ID 83705-1262

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1497619589

Samuel Ishimwe's National Provider Identifier is 1497619589, issued on Dec 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Dec 12, 2025.