Individual
CHRISTINE ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
7988173-3102
UT
363L00000X
Nurse Practitioner
4704396080
MI
363LN0000X
Neonatal Nurse Practitioner
10032555
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
65340
ID
Other
Enumeration date
04/23/2020
Last updated
01/22/2025
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