Organization · Type 2 NPI
Idaho NP Clinic PLLC
Primary Care Nurse Practitioner · Boise, ID
NPI number
1790370765
Active
Practice location
1883 Wildwood St Ste C
Boise, ID 83713-5146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Boise
About NPI 1790370765
Idaho NP Clinic PLLC's National Provider Identifier is 1790370765, issued on Mar 2, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boise, ID. The record was last updated on May 21, 2021.