Organization · Type 2 NPI

Nugen Nursing P.c

Nurse Practitioner · Boise, ID

NPI number 1639779713 Active

Practice location

8555 W Hackamore Dr Ste 250
Boise, ID 83709-1605

Other practice locations

  • 10840 Warner Ave Ste 102A, Fountain Valley, CA 92708-3847 · (562) 665-6654
  • 2100 Palomar Airport Rd Ste 214-16, Carlsbad, CA 92011-4402 · (900) 994-1540
  • 8130 E Cactus Rd Ste 510, Office 1, Scottsdale, AZ 85260-5263 · (800) 994-1540

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639779713

Nugen Nursing P.c's National Provider Identifier is 1639779713, issued on Oct 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Jan 28, 2026.