Individual
JANET G GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
413 N ALLUMBAUGH, SUITE 103, BOISE, ID 83704
(208) 658-0800
(208) 323-1894
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N21412
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148209
BLUE SHIELD
—
01
—
NPJM1
BLUE CROSS
—
Enumeration date
09/08/2006
Last updated
04/21/2021
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