Whalio Doctors

NPI 1073952016

Hannah Elisabeth Underdahl, RNMSNCNMWHNP

Practitioner Advanced Practice Midwife Boise, ID

Practice location

Address
6565 W Emerald St, Boise, ID 83704-8737
Phone
(208) 514-2510
Fax
(208) 375-2217
Mailing address
777 N Raymond St, Boise, ID 83704-9251

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence CNM69A (ID)
Women's Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence NP1323A (ID)

Registry record

NPI
1073952016
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jun 2013
Record last updated
15 Dec 2023

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.