Provider Demographics
NPI:1881812691
Name:BUHR COTE, JOANN E (DNP)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:E
Last Name:BUHR COTE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 NE 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PAYETTE
Mailing Address - State:ID
Mailing Address - Zip Code:83661-5240
Mailing Address - Country:US
Mailing Address - Phone:208-642-9376
Mailing Address - Fax:
Practice Address - Street 1:823 CENTER AVE
Practice Address - Street 2:
Practice Address - City:PAYETTE
Practice Address - State:ID
Practice Address - Zip Code:83661-2535
Practice Address - Country:US
Practice Address - Phone:208-642-3396
Practice Address - Fax:208-642-9060
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-683A207Q00000X
OR200250098NP207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR200250098NPOtherNURSE PRACTITIONER ID NUM
IDNP-683AOtherNURSE PRACTITIONER ID NUMBER
ID0025489Medicaid
OR022835Medicaid