Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Id Phs LLC

Organization Nurse Practitioner · NPI 1245613967

Id Phs LLC is a Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 W Banncock St Ste 1100
Boise, ID 83702-6140
Phone: (337) 991-9276
Fax: (337) 991-9288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1245613967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Howard — Ceo · (337) 991-9276
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 30, 2015
Mailing address1509 Dulles Dr, Lafayette, LA 70506-3718

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