Search › Idaho › 363L00000X
Trevor Spence, NP-C
NPI 1669063384 · on the registry since 2021
Practice
- Address
- 3301 N Sawgrass Way
Boise, ID 83704 - Phone
- (208) 375-2658
- Organisation at this address
- Mountain View Medical Center
St Lukes Regional Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 206 E Elm St, Caldwell, ID
- 5373 W Milano Dr, Meridian, ID
- 1210 Nw 16th St, Fruitland, ID
- 3875 E Overland Rd Ste 106, Meridian, ID
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho