TREASURE VALLEY HEALTHCARE PLLC NPI 1336762566

NPI Information

NPI: 1336762566
Provider Name: TREASURE VALLEY HEALTHCARE PLLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
5108 N MAIDSTONE WAY
BOISE, ID
ZIP 83713
Phone: (208) 577-8672
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TREASURE VALLEY HEALTHCARE PLLC is a gerontology nurse practitioner in Boise, ID. TREASURE VALLEY HEALTHCARE PLLC NPI is 1336762566. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5108 N MAIDSTONE WAY
BOISE, ID
ZIP 83713-367
Phone: (208) 577-8672
Fax: (208) 939-6106

The provider's authorized official is Candice Elaine Adams .
The authorized official title is Ceo and has the following contact phone number (208) 577-8672.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 6/4/2020.

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	363LA2200X	Nurse Practitioner	Adult Health			No
2	363LG0600X	Nurse Practitioner	Gerontology			Yes

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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