Karen L Godard
Nurse Practitioner - Pediatrics
1305 3rd St S
Nampa
, Idaho 83651-3903
Karen L Godard
Nurse Practitioner - Pediatrics
1305 3rd St S
Nampa
, Idaho 83651-3903
(208) 426-3628
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Karen L Godard
- 1910 University Dr Sn 128
- Boise, ID
- Zip : 83725-0002
- Phone : (208) 426-3628
Second Address
- Karen L Godard
- 1305 3rd St S
- Nampa, ID
- Zip : 83651-3903
- Fax : (208) 475-5710
- Phone : (208) 475-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | NP-822A; N36983 | ID |
National Provider Identifier
| NPI | 1033102579 |
|---|---|
| Provider Name | Karen L Godard |
| First Address | Boise, ID 83725-0002 |
| Second Address | Nampa, ID 83651-3903 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2005 |
| Last Update Date | 11/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S82718 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.