SearchIdaho208100000X

Carolyn Blasch, NURSE PRACTITIONER

NPI 1992154538 · on the registry since 2016 · sole proprietor

Practice

Address
161 E Mallard Dr Ste 120
Boise, ID 83706
Phone
(208) 884-1333
Organisation at this address
Gemba Boise Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 3551 E Overland Rd, Meridian, ID

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-16

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