EILEEN YOUNGBLOOD AGPCNP-C NPI 1952152415

NPI Information

  • NPI: 1952152415
  • Provider Name: EILEEN YOUNGBLOOD, AGPCNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 250 W BOBWHITE CT
    BOISE, ID
    ZIP 83706
  • Phone: (208) 426-0052

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NPI Details

Eileen Youngblood, AGPCNP-C is an adult health nurse practitioner in Boise, ID. Eileen Youngblood, AGPCNP-C NPI is 1952152415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 W BOBWHITE CT
BOISE, ID
ZIP 83706-643
Phone: (208) 426-0052

The enumeration date for this NPI number is 4/1/2024 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine67667IDAHONo
2163WG0000XRegistered NurseGeneral Practice67667IDAHONo
3163WN1003XRegistered NurseNutrition Support67667IDAHONo
4363LG0600XNurse PractitionerGerontology9071657IDAHONo
5363LA2200XNurse PractitionerAdult Health9071657IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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