Alicia Bates, STUDENT NP

NPI #1093536583 in Boise, Idaho

Provider Information

NPI Number: 1093536583
Entity Type: Individual
Name: Alicia Bates, STUDENT NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: STUDENT NP
Enumeration Date: Oct 18, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 190 E BANNOCK ST
City: Boise
State: Idaho
ZIP Code: 83712-6241
Phone: (208) 381-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Nurse Practitioner	363L00000X	Primary

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