Individual provider · Type 1 NPI

Erin Michaelis, NP

Gerontology Nurse Practitioner · Boise, ID

NPI number 1639578628 Active

Practice location

6140 W Curtisian Ave, Ste 200
Boise, ID 83704

Fax (208) 302-0055

Mailing address

3340 E Goldstone Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X9009534-4405 (UT)
Gerontology Nurse Practitioner Primary 363LG0600X60235 (ID)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1639578628

Erin Michaelis, NP's National Provider Identifier is 1639578628, issued on Aug 15, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boise, ID. The record was last updated on Feb 11, 2019.