Individual
GARN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
9338 W TOUCHSTONE DR, BOISE, ID 83709-6881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
58053
ID
363LF0000X
Family Nurse Practitioner
Primary
8871953
ID
Other
Enumeration date
10/11/2022
Last updated
09/19/2025
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