Farkhunda Ahmadi, FNP
Individual provider Active NPI Family Medicine Physician · Boise, ID
NPI 1407577299 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1407577299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 74080 (ID)
- Practice address
- 9783 W Woodland LN
Boise, ID 83704-5587 - Phone
- (208) 703-5673
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74080 | ID | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 74080 | ID | Yes |
Addresses
Primary practice location
9783 W Woodland LN
Boise, ID 83704-5587
Mailing address
9783 W Woodland LN
Boise, ID 83704-5587
Phone (208) 703-5673
Other providers in Boise, ID
- J Thomas Ahlquist
- Tom C Ahlrichs
- Danielle Rae Ahlstrom
- Derek Scott Ahlstrom
- Parwiz Ahmad
- Melanie R Ahrens
- Aidaly Care Idaho LLC
- Dawn Lynn Aiken
- Georgianna T Ainslie
- Brittany Louise Aitchison
All providers in Boise, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.