SUSAN IWASA RN CDE NPI 1487773156

NPI Information

NPI: 1487773156
Provider Name: SUSAN IWASA, RN, CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1226 W RIVER ST
BOISE, ID
ZIP 83702
Phone: (208) 331-1155
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Susan Iwasa, RN, CDE is a diabetes educator registered nurse in Boise, ID. Susan Iwasa, RN, CDE NPI is 1487773156. 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:

1226 W RIVER ST
BOISE, ID
ZIP 83702-049
Phone: (208) 331-1155
Fax: (208) 383-0190

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/8/2007.

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	163WD0400X	Registered Nurse	Diabetes Educator	N-15513	IDAHO	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: 4/28/2024

NPI Synchronization or Removal

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