Individual
JOSIE F FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4740 N PENNGROVE WAY, STE 100, MERIDIAN, ID 83646
(208) 938-3663
(208) 938-3664
Mailing address
4740 N PENNGROVE WAY, STE 100, MERIDIAN, ID 83646
(208) 938-3663
(208) 938-3664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 936A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1349042
MEDICARE PTAN
ID
05
—
808552900
—
ID
Enumeration date
10/05/2009
Last updated
08/26/2019
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