Individual
TREVOR SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-2658
Mailing address
5373 W MILANO DR, MERIDIAN, ID 83646-7603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53451
ID
363L00000X
Nurse Practitioner
95016395
CA
Other
Enumeration date
01/27/2021
Last updated
05/12/2026
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