Provider Demographics
NPI:1700213287
Name:XL HOSPICE
Entity Type:Organization
Organization Name:XL HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:NITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRELIER VERNER
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:208-850-3236
Mailing Address - Street 1:312 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3717
Mailing Address - Country:US
Mailing Address - Phone:208-465-7121
Mailing Address - Fax:
Practice Address - Street 1:312 3RD ST S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3717
Practice Address - Country:US
Practice Address - Phone:208-465-7121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1343A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty