Individual
JULIE LYNN DODGEN HUAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-4600
(208) 302-4655
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60428
ID
163WN0002X
Neonatal Intensive Care Registered Nurse
60428
ID
163WN0002X
Neonatal Intensive Care Registered Nurse
61079183
WA
363LN0000X
Neonatal Nurse Practitioner
AP61114357
WA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
60428
ID
Other
Enumeration date
01/09/2019
Last updated
03/27/2024
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