NPI 1003414228

Chelsea Rose Wallace, RNFNPC

Practitioner Nurse Practitioner Boise, ID

Practice location

Address: 9976 W Emerald St, Boise, ID 83704-9769
Phone: (208) 229-3742

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 57758 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1003414228
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2020
Record last updated: 9 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.