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Carolyn Blasch, NURSE PRACTITIONER — NPI 1992154538, Boise, ID | NPI Central

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NPI 1992154538

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Carolyn Blasch, NURSE PRACTITIONER

NPI 1992154538 · Physical Medicine & Rehabilitation Physician · Boise, ID

Provider details

NPI number: 1992154538
Entity type: Individual
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Credential: NURSE PRACTITIONER
Sex: Female
Sole proprietor: Yes
License: 8471548 (ID)

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000XLicense 8471548 (ID)
Allopathic & Osteopathic Physicians

Practice location

161 E Mallard Dr Ste 120

Boise, ID 83706-5015

Phone: (208) 884-1333

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

3912 Sage Creek Dr

Boise, ID 83714-5502

Additional practice locations (1)

3551 E Overland Rd
Meridian, ID 83642-6757
Phone: (208) 884-1333

Registry dates

Enumerated: 2016-06-05
Last updated: 2025-01-16
Certified: 2025-01-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.