EVERGREEN PHYSICAL MEDICINE, LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1538668421- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1710 W CHERRY LN, MERIDIAN, ID, 836421340
- Phone
- (208) 895-8595
Specialties & Taxonomies
Nurse Practitioner, Family
Primary