Individual
ANTONETTE LYNN HARVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-4600
(208) 302-4655
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
62691
ID
363LN0000X
Neonatal Nurse Practitioner
AP60217378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
KRMC L&I GROUP NUMBER
WA
05
—
1073897849
—
WA
Enumeration date
09/28/2011
Last updated
01/20/2025
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