Revolutionary Medicine of Idaho
Revolutionary Medicine of Idaho is a Family Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4776 N Five Mile Rd Ste 101Boise, ID 83713-2715
Phone: (986) 777-0278
Fax: (208) 658-9501
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1487493292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Robbins — Owner · (208) 871-0297 |
| NPI enumerated | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 2536 Canyon Rd S, Melba, ID 83641-5258 |
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