| Name: | NURSE PRACTITIONERS OF IDAHO, INC. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 26 Jun 2000 (25 years ago) |
| Financial Date End: | 30 Jun 2025 |
| Entity Number: | 411082 |
| Place of Formation: | IDAHO |
| File Number: | 411082 |
| ZIP code: | 83706 |
| County: | Ada County |
| Mailing Address: | BEN KNAPP STE 201 2210 S BROADWAY AVE BOISE, ID 83706-4666 |
| Name | Role | Address |
|---|---|---|
| Ben Knapp | Agent | 2100 S BROADWAY AVE, STE 201, BOISE, ID 83706 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Amos Haley | Treasurer | 6126 W STATE ST, BOISE, ID 83703 | 2021-05-05 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Shannon Bordes | Secretary | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Cynthia Dalsing | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Sue Warner | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Jackie Turner | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Melody Weaver | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Kristy Crownhart | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Damon "Russ" Lawson | Director | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Scott Schaffer | Vice President | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Colleen Shackelford | President | 6126 W STATE ST, BOISE, ID 83703 | 2024-06-25 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Registered Agent Name/Address Change (mass change) | 0005811759 | 2024-07-08 |
| Statement of Change of Business Mailing Address | 0005799846 | 2024-07-03 |
| Statement of Change of Business Mailing Address | 0005797677 | 2024-07-03 |
| Annual Report | 0005788115 | 2024-06-25 |
| Annual Report | 0005266969 | 2023-06-05 |
| Annual Report | 0004784865 | 2022-06-15 |
| Change of Registered Office/Agent/Both (by Entity) | 0004718017 | 2022-04-27 |
| Annual Report | 0004274633 | 2021-05-05 |
| Annual Report | 0003869085 | 2020-05-06 |
| Change of Registered Office/Agent/Both (by Entity) | 0003521169 | 2019-05-22 |
Date of last update: 18 Dec 2024
Sources: Idaho Secretary of State
