NPI 1144950353

Amy L Bacca, APRNAGCNSBC

Practitioner Clinical Nurse Specialist Boise, ID

Practice location

Address: 720 E Park Blvd STE 260, Boise, ID 83712-7765
Phone: (208) 381-6879
Mailing address: 4300 N Stratford Dr, Boise, ID 83704-3356

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 67616 (ID)

Other Clinical Nurse Specialist providers in Idaho →

Registry record

NPI: 1144950353
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2022
Record last updated: 13 Jun 2022

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.