specializing in nurse practitioner in Boise, Idaho

NPI: 1063786648

Provider Type

2

Practice Locations

Mailing Location

1509 DULLES DRIVE

LAFAYETTE, LA 70506

📞 3379919276

📠 3379919288

Practice Location

950 W. BANNOCK STREET

SUITE 1100

BOISE, ID 83702

📞 8772604747

📠 9012614867

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/29/2012
Last Updated:7/2/2014

Credentials

Primary Credential:
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