IDAHO ADVANCED MEDICAL CARE LLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1487307468- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 13150 W PERSIMMON LN, BOISE, ID, 837131986
- Phone
- (818) 915-4545
Specialties & Taxonomies
Nurse Practitioner
Primary
All Addresses
MAILING
13150 W PERSIMMON LN
BOISE, ID, 837131986