Thiago Alberto, NP

NPI #1023650512 in Boise, Idaho

Provider Information

NPI Number: 1023650512
Entity Type: Individual
Name: Thiago Alberto, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Oct 16, 2019
Last Updated: Jul 13, 2021

Practice Location

Address: 11197 W FAIRVIEW AVE
City: Boise
State: Idaho
ZIP Code: 83713-7935
Phone: (208) 378-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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