Individual provider · Type 1 NPI
Kimberly Demark, NP
Family Nurse Practitioner · Boise, ID
NPI number
1821442708
Active
Practice location
100 E Idaho St, Suite 300
Boise, ID 83712-6267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | N-36946 (ID) |
| Family Nurse Practitioner Primary | 363LF0000X | NP-1699A (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1821442708
Kimberly Demark, NP's National Provider Identifier is 1821442708, issued on Apr 18, 2016. 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 18, 2016.