IndividualActive
Luna Hodges, DNP, CPNP
NPI 1275192205 · Pediatric Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1275192205
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 36752 (ID)
Practice location
125 E Idaho St Ste 200
Boise, ID 83712-6225
Phone: (208) 381-7340
Fax: (208) 381-7341
Mailing address
1306 E State St Apt 1
Boise, ID 83712-8008
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2019-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.