ABUNDANT LIFE HEALTH CARE PC; NPI #1386750552

Contact Information

ABUNDANT LIFE HEALTH CARE PC

1617 W JEFFERSON ST
BOISE, ID 83702-5111

Phone: 208-433-9188
Fax: 208-433-9372
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ABUNDANT LIFE HEALTH CARE PC

NPI # 1386750552

LBN Legal business name ABUNDANT LIFE HEALTH CARE PC

Authorized official KAROLE BECK - (FAMILY NURSE PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/21/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

NP-541A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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