Individual provider · Type 1 NPI

Alexandra Eleanor Egland, PNP

Pediatric Nurse Practitioner · Boise, ID

NPI number 1760224653 Active

Practice location

2619 W Fairview Ave Ste 3102
Boise, ID 83702-6722

Call (208) 706-2663 Map

Fax (208) 489-4300

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3261570 (ID)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760224653

Alexandra Eleanor Egland, PNP's National Provider Identifier is 1760224653, issued on Jun 11, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Sep 11, 2024.