Colter Johnson, FNP-C | |
215 E Hawaii Ave, Nampa, ID 83686-6011 | |
(208) 463-3000 | |
Not Available |
Full Name | Colter Johnson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 215 E Hawaii Ave, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215670013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 60327 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care West Side Llc | 3678738218 | 8 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Community Care West Side Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
Entity Name | Cc Pocatello Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
Mailing Address | Practice Location Address |
---|---|
Colter Johnson, FNP-C 780 S Tennyson Way, Boise, ID 83709-7738 Ph: (208) 251-9519 | Colter Johnson, FNP-C 215 E Hawaii Ave, Nampa, ID 83686-6011 Ph: (208) 463-3000 |
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