Healthcare Provider Details

I. General information

NPI: 1932748522
Provider Name (Legal Business Name): DANIELLE HYNDS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE ABBOTT

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 W CURTISIAN AVE STE 400
BOISE ID
83704-8907
US

IV. Provider business mailing address

6140 W CURTISIAN AVE STE 400
BOISE ID
83704-8907
US

V. Phone/Fax

Practice location:
  • Phone: 208-378-9977
  • Fax:
Mailing address:
  • Phone: 208-378-9977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number55162
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number55162
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: