Individual
ALESSANDRA LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
72932
ID
363LF0000X
Family Nurse Practitioner
Primary
7971743
ID
Other
Enumeration date
02/05/2025
Last updated
03/17/2025
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