IndividualActive
Elizabeth Balleweg
NPI 1295372308 · Primary Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1295372308
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 63144 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2306 N 31st St
Boise, ID 83703-5628
Phone: (406) 546-7469
Approximate (ZIP-level) locationGet directions
Mailing address
2306 N 31st St
Boise, ID 83703-5628
Registry dates
- Enumerated
- 2019-12-09
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.