STACEY KAY WRIGHT NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1497716476- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 5593 N GLENWOOD ST, GARDEN CITY, ID, 83714
- Phone
- (208) 322-5354
- Fax
- (208) 322-5379
Specialties & Taxonomies
Nurse Practitioner, Family
License: NV #813271
Nurse Practitioner, Family
Primary License: ID #NP539A