Individual provider · Type 1 NPI
Rachael L. Pedersen, NP
Family Nurse Practitioner · Boise, ID
NPI number
1659613636
Active
Practice location
100 E Warm Springs Ave Ste B
Boise, ID 83712-6243
Mailing address
190 E Bannock St
Boise, ID 83712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1257A (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1659613636
Rachael L. Pedersen, NP's National Provider Identifier is 1659613636, issued on Mar 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Apr 24, 2013.