Individual
AARON L THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709-2601
(087) 803-9002
(208) 375-2882
Mailing address
8675 W ARDENE ST, BOISE, ID 83709-2601
(208) 780-3900
(208) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60100852
WA
363L00000X
Nurse Practitioner
NP-1305A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1305A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730311564
—
ID
Enumeration date
08/12/2009
Last updated
12/13/2023
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