MEDICARE: KATHERINE RENEE BUHIKIRE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	AP60541985	WA
2	363LF0000X	Family Nurse Practitioner	AP60541985	WA
3	363L00000X	Nurse Practitioner	AP60541985	WA
4	363LF0000X	Family Nurse Practitioner	APRN-1172	HI
5	363LF0000X	Family Nurse Practitioner	NP-1063A	ID

General Provider Information

NPI Number	:	1588807838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE RENEE BUHIKIRE APRN

Provider Business Mailing Address
First Line	:	168 N STRATUS WAY
Second Line	:
City	:	EAGLE
State	:	ID
Zip	:	83616-1128
Country	:	US
Telephone Number	:	208-205-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 N CURTIS RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-1309
Country	:	US
Telephone Number	:	208-205-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2009
Last Update Date	:	06/20/2026

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