Individual provider · Type 1 NPI
Jeremy A. Basse, FNP
Family Nurse Practitioner · Garden Valley, ID
NPI number
1578726485
Active
Practice location
856 Banks Lowman Road
Garden Valley, ID 83622-0270
Fax (208) 462-3736
Mailing address
PO Box 270
Garden Valley, ID 83622-0270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1036 (AK) |
| Family Nurse Practitioner Primary | 363LF0000X | NP1025 (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1578726485
Jeremy A. Basse, FNP's National Provider Identifier is 1578726485, issued on Jul 10, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Garden Valley, ID. The record was last updated on Mar 28, 2011.