TRAVIS BLASER FNP
NPI 1225813595
Nurse Practitioner - Family in Boise, ID
Active since August 25, 2023
About Travis Blaser Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS BLASER FNP (NPI 1225813595) is an individual family provider in Boise, Idaho, licensed in Idaho (77386) and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1225813595
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTRAVIS BLASERCredential: FNP
Location Address4305 N EAGLE RDBoise, ID 83713-4722
Mailing Address8454 N Pierce Park RdBoise, ID 83714-2505 · (608) 780-2742
Phone(208) 939-3110
Sole ProprietorNo
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1225813595 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 77386
4305 N EAGLE RD, Boise, ID 83713
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225813595, enumerated as an "individual" on August 25, 2023.
The provider is located at 4305 N EAGLE RD BOISE, ID 83713 and the phone number is (208) 939-3110.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
