Edward Mark Hatrick, NP-C
Nurse Practitioner, Family in Boise, ID. Individual provider (NPI-1).
NPI number1982107736
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1982107736
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward Mark Hatrick
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2018
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 72095 | ID | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP136272 | TX |
Practice location
1075 N Curtis Rd Ste 201Boise, ID 83706-1350
Phone 208-302-3300 · Fax 208-302-3355
Mailing address
Po Box 190930Boise, ID 83719-0930
Phone 208-367-5170
Other practice locations
4943 Saxon Dr
Houston, TX 77092-5537
Houston, TX 77092-5537
Phone 832-627-1672
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