Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Idaho Advanced Medical Care LLC

Organization Nurse Practitioner · NPI 1487307468

Idaho Advanced Medical Care LLC provides Nurse Practitioner services in Boise, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13150 W Persimmon Ln
Boise, ID 83713-1986
Phone: (818) 915-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1487307468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Cooper — Owner · (818) 915-4545
NPI enumeratedJanuary 31, 2022
Last updated in NPPESMarch 21, 2022
Certification dateFebruary 17, 2022
Mailing address13150 W Persimmon Ln, Boise, ID 83713-1986

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