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NPI Code Detail

MEDICARE: ALLA OSIPCHUK APRN, ACNS-BC

MEDICARE: ALLA OSIPCHUK APRN, ACNS-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SA2200XAdult Health Clinical Nurse SpecialistCNS-71AID
2208VP0000XPain Medicine PhysicianCNS71AID
3163W00000XRegistered NurseN-37736ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CS34304OTHERIDPRACTITIONER CONTROLLED SUBSTANCE

General Provider Information

NPI Number : 1891116653
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLA OSIPCHUK APRN, ACNS-BC
Provider Business Mailing Address
First Line : 2102 W EVEREST LN STE 100
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-7033
Country : US
Telephone Number : 208-505-4744
Fax Number : 844-402-0970
Provider Business Practice Location Address
First Line : 633 N 4TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4510
Country : US
Telephone Number : 208-342-9800
Fax Number : 208-342-4223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2013
Last Update Date : 02/24/2026

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