IndividualActive
Amy Bacca, APRN AGCNS-BC
NPI 1144950353 · Clinical Nurse Specialist · Boise, ID
Provider details
- NPI number
- 1144950353
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 67616 (ID)
Mailing address
4300 N Stratford Dr
Boise, ID 83704-3356
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.