Individual
TRAVIS BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4305 N EAGLE RD, BOISE, ID 83713-4722
(208) 939-3110
Mailing address
8454 N PIERCE PARK RD, BOISE, ID 83714-2505
(608) 780-2742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77386
ID
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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