ABUNDANT LIFE HEALTH CARE PC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1386750552- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1617 W JEFFERSON ST, BOISE, ID, 837025111
- Phone
- (208) 433-9188
- Fax
- (208) 433-9372
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #NP-541A