Provider Demographics
NPI:1033001326
Name:TORREY, REBECCA (PENDING NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:TORREY
Suffix:
Gender:F
Credentials:PENDING NP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ICKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7619 S COWEN ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-6931
Mailing Address - Country:US
Mailing Address - Phone:623-850-0524
Mailing Address - Fax:
Practice Address - Street 1:1150 N SISTER CATHERINE WAY
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-3133
Practice Address - Country:US
Practice Address - Phone:208-302-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID62984163W00000X
IDPENDING363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse