Individual
DEBORAH N SVANGSTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 327-5600
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE, STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP762A
ID
363LF0000X
Family Nurse Practitioner
NP762A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158523
REGENCE BLUESHIELD
ID
01
—
0214273
WA DEPART OF LABOR
WA
05
—
807587800
—
ID
01
—
NPYA3
BLUE CROSS OF IDAHO
ID
Enumeration date
08/16/2006
Last updated
05/09/2022
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