Organization
HNI HOSPITALISTS OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN A CARLETTI (VP OF OPERATIONS)
(330) 727-3530
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(512) 730-3056
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3056
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/19/2018
Last updated
08/22/2023
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