Organization
TREASURE VALLEY HOLISTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICULINA BISTRICEANU NP (OWNER)
(208) 440-1085
Entity
Organization
Contact information
Practice address
1166 N COLE RD STE A, BOISE, ID 83704-8658
(208) 440-1085
(208) 249-9757
Mailing address
1166 N COLE RD STE A, BOISE, ID 83704-8658
(208) 440-1085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
TAXONOMY
ID
Enumeration date
05/24/2022
Last updated
05/24/2022
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