IDAHO NP CLINIC PLLC; NPI #1790370765

Contact Information

IDAHO NP CLINIC PLLC

1883 WILDWOOD ST STE C
BOISE, ID 83713-5146

Phone: 662-571-7651
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for IDAHO NP CLINIC PLLC

NPI Number	`1790370765`
LBN Legal business name	IDAHO NP CLINIC PLLC
Authorized official	JENNIFER HOFER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/02/2021
Last updated	05/21/2021 - About 5 years ago
Identifiers	n/a

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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