Individual
COLLEEN LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3308 N MILWAUKEE ST STE 120, BOISE, ID 83704-1007
(208) 991-1636
(208) 991-1985
Mailing address
10435 W SHADYBROOK DR, BOISE, ID 83704-3945
(208) 991-1636
(208) 991-1985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209029135
IL
363L00000X
Nurse Practitioner
Primary
74406
ID
363L00000X
Nurse Practitioner
NP12463
CA
363L00000X
Nurse Practitioner
TP004694B
PA
363LF0000X
Family Nurse Practitioner
12463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912023177
NPI
CA
Enumeration date
03/21/2007
Last updated
11/10/2025
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