Individual provider · Type 1 NPI
Michelle Kruse Imani, FNP-C
Nurse Practitioner · Buhl, ID
Practice location
980 Burley Ave
Buhl, ID 83316-1849
Fax (208) 814-9151
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6261075 (ID) |
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…
4 other providers at this address
About NPI 1699510404
Michelle Kruse Imani, FNP-C's National Provider Identifier is 1699510404, issued on Jun 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Buhl, ID. The record was last updated on Jan 28, 2026.