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

Alicia Bates, STUDENTNP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093536583

Alicia Bates, STUDENTNP is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
Specialties on file
2

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7971038 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093536583
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENTNP
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

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