MRS. MYRNA CLARE FISHER APPN NPI 1306839741

NPI Information

NPI: 1306839741
Provider Name: MRS. MYRNA CLARE FISHER, APPN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
777 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 514-2500
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MRS. Myrna Clare Fisher, APPN is a family nurse practitioner in Boise, ID. MRS. Myrna Clare Fisher, APPN NPI is 1306839741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

777 N RAYMOND ST
BOISE, ID
ZIP 83704-251
Phone: (208) 514-2500
Fax: (208) 375-2217

The enumeration date for this NPI number is 8/30/2005 and was last updated on 8/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP193A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S16619	MEDICARE UPIN	IDAHO
2	20004219	MEDICARE PIN	IDAHO
3	0043801	MEDICAID	IDAHO
4	133834	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
5	1306839741	MEDICAID	IDAHO
6	20004218	MEDICARE PIN	IDAHO
7	20004217	MEDICARE PIN	IDAHO
8	20004215	MEDICARE PIN	IDAHO
9	20004216	MEDICARE PIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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