Individual
PRISCA HERMENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
963 S ORCHARD ST STE 101, BOISE, ID 83705-1917
(208) 605-9860
Mailing address
963 S ORCHARD ST STE 101, BOISE, ID 83705-1917
(208) 605-9860
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
320800000X
Mental Illness Community Based Residential Treatment Facility
—
ID
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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