Individual
PETER ADOLPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN, DNP
Contact information
Practice address
3749 S MILL SITE LN STE G, BOISE, ID 83716-5599
(803) 917-2923
Mailing address
3749 S MILL SITE LN STE G, BOISE, ID 83716-5599
(803) 917-2923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6045
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4671295
ID
Other
Enumeration date
01/26/2015
Last updated
02/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us