Healthcare Provider Details
I. General information
NPI: 1588807838
Provider Name (Legal Business Name): KATHERINE RENEE BUHIKIRE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/16/2009
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1055 N CURTIS RD
BOISE ID
83706-1309
US
IV. Provider business mailing address
PO BOX 190930
BOISE ID
83719-0930
US
V. Phone/Fax
- Phone: 208-205-1000
- Fax:
- Phone: 208-367-5170
- Fax: 208-367-5180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP60541985 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN-1172 |
| License Number State | HI |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP-1063A |
| License Number State | ID |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | AP60541985 |
| License Number State | WA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP60541985 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: