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NPI Profile for MOUNTAIN STATES NEONATOLOGY INC in BOISE, ID.
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Pediatric Critical Care Medicine |
2080P0203X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1205850823 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/27/2006 | |
| Last updated | 10/23/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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MOUNTAIN STATES NEONATOLOGY, INC.
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| SALLY SUTER, FNP ND 704 S LATAH BOISE, ID |
| SATU H WOODLAND, PMHCNS-BC 3152 S. BOWN WAY # 102 BOISE, ID |
| NICOLAS A CAMILO, MD 100 E IDAHO ST. BOISE, ID |
| MELANIE A NASH, NP-C BVAMC 500 FORT ST BOISE, ID |
| ANNIS W VARGAS, MD 1072 N LIBERTY STREET BOISE, ID |
| REBEKAH G FAYETTE, CNM, PMHNP 10280 W USTICK RD BOISE, ID |
| CHERYL FISH, NP 6140 W CURTISIAN AVE BOISE, ID |
| KLAAS VANDEN BELD, NP 3277 E. LOUISE DR. MERIDIAN, ID |
| NADEZHDA KRAVCHUK, NP-C 1150 N SISTER CATHERINE WAY NAMPA, ID |
| THOMAS J HAMMER, MD 1209 N JACOB ALLCOTT WAY NAMPA, ID |
MOUNTAIN STATES NEONATOLOGY, INC.