Underdahl, Hannah Elisabeth
Underdahl, Hannah Elisabeth is an individual health care provider with primary practice located at 6565 W Emerald St , Boise ID 83704-8737. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Underdahl, Hannah Elisabeth can be contacted via phone (208) 514-2510.Contact Information
Primary practice address
6565 W Emerald St
Boise ID 83704-8737
Phone: (208) 514-2510
Fax: (208) 375-2217
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM69A | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | NP1323A | Idaho |
Profile Details
NPI number | 1073952016 |
---|---|
LBN Legal business name | Underdahl, Hannah Elisabeth |
Credentials | RN, MSN, CNM, WHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2013 |
Last updated | Dec 15th, 2023 - about 2 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 | 1073952016 | NPPES |
Idaho | MEDICAID | 1073952016 |
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