Individual
MS. ILSE M. HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, MSN
Contact information
Practice address
500 WEST FORT STREET, BOISE, ID 83702-4598
(208) 422-1325
(208) 422-1408
Mailing address
500 W. FORT ST., # 111, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
N27129
ID
363LA2200X
Adult Health Nurse Practitioner
N27129
ID
363LW0102X
Women's Health Nurse Practitioner
N27129
ID
Other
Enumeration date
10/12/2006
Last updated
03/01/2022
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