Idaho State University Valid NPI

Organization · Primary Care Nurse Practitioner · Meridian, ID

NPI

1962095711

Type

Organization (Type 2)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

Enumerated

2021-02-12

Last updated

2021-08-27