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Individual

ROBERT WARRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
3676 S VINTAGE WAY, BOISE, ID 83706-5449
(208) 965-1612
Mailing address
3676 S VINTAGE WAY, BOISE, ID 83706-5449
(208) 965-1612

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38269
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9181703
ID

Other

Enumeration date
09/15/2025
Last updated
03/12/2026
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