Abundant Life Health Care PC

Organization Active NPI Family Nurse Practitioner · Boise, ID

NPI 1386750552 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1386750552
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
NP-541A (ID)
Legal business name
ABUNDANT LIFE HEALTH CARE PC
Practice address
1617 W Jefferson St
Boise, ID 83702-5111
Phone
(208) 433-9188
Fax
(208) 433-9372
NPI assigned
Aug 21, 2006
Organization subpart
No

Authorized official

Name
Karole L Beck, FNP
Title
Family Nurse Practitioner
Phone
(208) 433-9188

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X NP-541A ID Yes

Addresses

Primary practice location

1617 W Jefferson St
Boise, ID 83702-5111

Mailing address

1617 W Jefferson St
Boise, ID 83702-5111
Phone (208) 433-9188

Other providers in Boise, ID

All providers in Boise, ID · Family Nurse Practitioner in Idaho

Sources for this page

Verify at the official NPI Registry.