Individual provider · Type 1 NPI
Gayle Matsumuro
Nurse Practitioner · Boise, ID
Practice location
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Fax (208) 323-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 64061 (ID) |
| Nurse Practitioner Primary | 363L00000X | 26983 (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…
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About NPI 1730712266
Gayle Matsumuro's National Provider Identifier is 1730712266, issued on Feb 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Apr 24, 2020.