specializing in nurse practitioner in Lewiston, Idaho

NPI: 1861898678

Provider Type

2

Practice Locations

Mailing Location

2134 INDUSTRIAL DR

SUITE B

BOZEMAN, MT 59715

📞 8005011142

Practice Location

415 6TH ST

LEWISTON, ID 83501

📞 2087432511

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/6/2014
Last Updated:11/6/2014

Credentials

Primary Credential:
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null null null - Nurse Practitioner in Lewiston, Idaho