GEM FAMILY PRACTICE
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1407919749- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1108 S WASHINGTON AVE, EMMETT, ID, 836173535
- Phone
- (208) 365-3455
- Fax
- (208) 365-3422
Specialties & Taxonomies
Nurse Practitioner
Primary License: ID #NP238A