Egland, Alexandra Eleanor

Egland, Alexandra Eleanor is an sole proprietor health care provider with primary practice located at 2619 W Fairview Ave , Boise ID 83702-6722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Egland, Alexandra Eleanor can be contacted via phone (208) 484-8992.

Contact Information

Primary practice address
2619 W Fairview Ave Boise ID 83702-6722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 46193 Idaho

Profile Details

NPI number 1760224653
LBN Legal business name Egland, Alexandra Eleanor
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2024
Last updated Jun 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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