Individual provider · Type 1 NPI
Kyle Randall Peterman, FNP
Family Nurse Practitioner · Boise, ID
NPI number
1639879596
Active
Practice location
500 W Fort St
Boise, ID 83702-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 57854 (ID) |
Family Nurse Practitioner: Definition to come...
602 other providers at this address
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- Aaron Null, PharmDPharmacotherapy Pharmacist Boise, ID NPI 1548516735
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- Alan Kelly Winward, RNAdministrator Registered Nurse Boise, ID NPI 1538885041
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About NPI 1639879596
Kyle Randall Peterman, FNP's National Provider Identifier is 1639879596, issued on Mar 8, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jul 25, 2024.