Nanavati, Heidi L
Nanavati, Heidi L is an individual health care provider with primary practice located at 6590 W Norwood Dr , Boise ID 83704-8765. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Nanavati, Heidi L can be contacted via phone (208) 506-3665.Contact Information
Primary practice address
6590 W Norwood Dr
Boise ID 83704-8765
Phone: (208) 506-3665
Fax: (208) 534-5056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F334833 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 65331 | Idaho |
Profile Details
| NPI number | 1396790606 |
|---|---|
| LBN Legal business name | Nanavati, Heidi L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 23rd, 2022 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396790606 | NPPES |
| Idaho | MEDICAID | 1225613375 | |
| Idaho | MEDICAID | 02773182 | |
| Idaho | Other | 236620 |
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