Healthcare Provider Details

I. General information

NPI: 1770478877
Provider Name (Legal Business Name): KARENA LYNN APOIAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARENA CRAWFORD RN

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 E BANNOCK ST
BOISE ID
83712-6241
US

IV. Provider business mailing address

11181 W HELENIUM DR
STAR ID
83669-1045
US

V. Phone/Fax

Practice location:
  • Phone: 208-381-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number77492
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95044847
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number77492
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: