Individual
ALLISON NICOLE VAN DER VEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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