IndividualActive
Alexandra Egland, PNP
NPI 1760224653 · Pediatric Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1760224653
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3261570 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2619 W Fairview Ave Ste 3102
Boise, ID 83702-6722
Phone: (208) 706-2663
Fax: (208) 489-4300
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.