Basic Information
| Provider Information | |||||||||
| NPI: | 1881812691 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUHR COTE | ||||||||
| FirstName: | JOANN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | DNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1441 NE 10TH AVE | ||||||||
| Address2: | |||||||||
| City: | PAYETTE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836615240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2086429376 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 823 CENTER AVE | ||||||||
| Address2: | |||||||||
| City: | PAYETTE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836612535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2086423396 | ||||||||
| FaxNumber: | 2086429060 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 06/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | NP-683A | ID | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 200250098NP | OR | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 200250098NP | 01 | OR | NURSE PRACTITIONER ID NUM | OTHER | NP-683A | 01 | ID | NURSE PRACTITIONER ID NUMBER | OTHER | 0025489 | 05 | ID | MEDICAID | 022835 | 05 | OR | MEDICAID |