OrganizationActive
Idaho NP Clinic PLLC
NPI 1790370765 · Primary Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1790370765
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Hofer, Owner(208) 901-7006
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1883 Wildwood St Ste C
Boise, ID 83713-5146
Phone: (662) 571-7651
Approximate (ZIP-level) locationGet directions
Mailing address
1883 Wildwood St Ste C
Boise, ID 83713-5146
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-05-21
- Certified
- 2021-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.