Healthcare Provider Details

I. General information

NPI: 1013799816
Provider Name (Legal Business Name): ALICIA CURMI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 S 6TH ST
BOISE ID
83702-7632
US

IV. Provider business mailing address

7211 W SAN FERNANDO DR
BOISE ID
83704-5951
US

V. Phone/Fax

Practice location:
  • Phone: 734-812-3214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number71553
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: