Individual
NATHAN THOMPSON BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 322-1680
(208) 385-7708
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
70954
ID
Other
Enumeration date
12/30/2022
Last updated
11/12/2024
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