Individual
KAITLYN ALTUZARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5100
(208) 302-5155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8161874
ID
Other
Enumeration date
10/05/2021
Last updated
07/15/2025
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