Mutabazi Nshimiyimana
Peer Specialist in Boise, ID. Individual provider (NPI-1).
NPI number1124956669
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1124956669
- Entity type
- Individual (NPI-1)
- Name
- Mutabazi Nshimiyimana
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2026
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
963 S Orchard StBoise, ID 83705-1939
Phone 208-513-5342
Mailing address
963 S Orchard StBoise, ID 83705-1939
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