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ELIZABETH BALLEWEG
NPI 1295372308
Nurse Practitioner - Primary Care in Boise, ID

Active since December 09, 2019
2306 N 31ST ST, BOISE, ID 83703(406) 546-7469 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Balleweg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH BALLEWEG (NPI 1295372308) is an individual primary care provider in Boise, Idaho, licensed in Idaho (63144) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1295372308
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZABETH BALLEWEG
Location Address2306 N 31ST STBoise, ID 83703-5628
Mailing Address2306 N 31st StBoise, ID 83703-5628 · (406) 546-7469
Phone(406) 546-7469
Sole ProprietorYes
Enumeration DateDecember 9, 2019
✔ NPI 1295372308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in ID · 63144
2306 N 31ST ST, Boise, ID 83703
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Balleweg's NPI number?

The NPI number for Elizabeth Balleweg is 1295372308. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Elizabeth Balleweg located?

Elizabeth Balleweg practices at 2306 N 31st St, Boise, ID 83703. The listed phone number is (406) 546-7469.

What is Elizabeth Balleweg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Elizabeth Balleweg was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.