Thoreson, Micah

Thoreson, Micah is an individual health care provider with primary practice located at 1000 E Park Blvd Ste 120 , Boise ID 83712-7791. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thoreson, Micah can be contacted via phone (208) 381-4100.

Contact Information

Primary practice address
1000 E Park Blvd Ste 120 Boise ID 83712-7791
Phone: (208) 381-4100
Fax: (208) 381-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 57732 Idaho

Profile Details

NPI number 1346734860
LBN Legal business name Thoreson, Micah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Jun 18th, 2018 - about 7 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.

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