Healthcare Provider Details

I. General information

NPI: 1487465431
Provider Name (Legal Business Name): NATASHA PLOWMAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S LATAH ST
BOISE ID
83705-1501
US

IV. Provider business mailing address

3413 N CAMPTON WAY
BOISE ID
83713-2082
US

V. Phone/Fax

Practice location:
  • Phone: 208-907-4704
  • Fax: 208-918-8634
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7471543
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: