NPI 1164043162
Slavik Osipchuk, NP
Practice location
- Address
- 987 S Allante Pl, Boise, ID 83709-1612
- Phone
- (208) 947-7246
- Fax
- (208) 297-7772
Registered specialties (2)
Pain Medicine Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1164043162
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Apr 2020
- Record last updated
- 14 Jan 2025
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.