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

Kyle Randall Peterman, FNP

Individual provider Family Nurse Practitioner · NPI 1639879596

Kyle Randall Peterman, FNP is a Family Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
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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 · Licence 57854 (ID)

Record details

NPI number1639879596
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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