Individual
JULIA MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1148
Mailing address
414 BROOKDALE DR, BOISE, ID 83712-8219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-621A
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-621A
ID
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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