specializing in nurse practitioner in Boise, Idaho

NPI: 1245613967

Provider Type

2

Practice Locations

Mailing Location

1509 DULLES DR

LAFAYETTE, LA 70506

📞 3379919276

📠 3379919288

Practice Location

950 W. BANNCOCK STREET STE 1100

BOISE, ID 83702

📞 3379919276

📠 3379919288

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:6/30/2015
Last Updated:6/30/2015

Credentials

Primary Credential:
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