INLANDE EMPIRE GYMNASTICS ASSOCIATION
Organization (NPI-2)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1124825724- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6360 N SUNSHINE ST, COEUR D ALENE, ID, 838158699
- Phone
- (208) 635-5623
- Fax
- (208) 601-6153
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary