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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073952016 NPPES
Idaho MEDICAID 1073952016

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