Individual
ALLA OSIPCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNS-BC
Contact information
Practice address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Mailing address
2102 W EVEREST LN STE 100, MERIDIAN, ID 83646-7033
(208) 505-4744
(844) 402-0970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-37736
ID
208VP0000X
Pain Medicine Physician
CNS71A
ID
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
CNS-71A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS34304
PRACTITIONER CONTROLLED SUBSTANCE
ID
01
—
MO3095139
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
ID
Enumeration date
12/20/2013
Last updated
02/24/2026
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