ID PHS LLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1245613967- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 950 W. BANNCOCK STREET STE 1100, BOISE, ID, 837026140
- Phone
- (337) 991-9276
- Fax
- (337) 991-9288
Specialties & Taxonomies
Nurse Practitioner, Family
Nurse Practitioner
Primary