Individual provider · Type 1 NPI
Eileen Youngblood, AGPCNP-C
Adult Health Nurse Practitioner · Boise, ID
NPI number
1952152415
Active
Practice location
250 W Bobwhite Ct
Boise, ID 83706-6643
Mailing address
2126 N Fire Opal Ave
Kuna, ID 83634-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 67667 (ID) |
| General Practice Registered Nurse | 163WG0000X | 67667 (ID) |
| Nutrition Support Registered Nurse | 163WN1003X | 67667 (ID) |
| Gerontology Nurse Practitioner | 363LG0600X | 9071657 (ID) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9071657 (ID) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1952152415
Eileen Youngblood, AGPCNP-C's National Provider Identifier is 1952152415, issued on Apr 1, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boise, ID. The record was last updated on Mar 3, 2025.