# TREASURE VALLEY HEALTHCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336762566
- **Authorized official:** CANDICE ELAINE ADAMS DNP (CEO)
- **Authorized official phone:** (208) 577-8672

## Contact information

- **Practice address:** 1120 S RACKHAM WAY, MERIDIAN, ID 83642-1092
- **Practice address phone:** (208) 577-8672
- **Practice address fax:** (208) 209-6058
- **Mailing address:** 5108 N MAIDSTONE WAY, BOISE, ID 83713-1367
- **Mailing address phone:** (208) 577-8672
- **Mailing address fax:** (208) 939-6106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2020
- **Last updated:** 07/29/2025