Individual
MR. EDWARD MARK HATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1075 N CURTIS RD STE 201, BOISE, ID 83706-1350
(208) 302-3300
(208) 302-3355
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72095
ID
363LF0000X
Family Nurse Practitioner
AP136272
TX
Other
Enumeration date
03/16/2018
Last updated
11/14/2025
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