Mr. JAKE KOTR MONAGHAN FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1588408702- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 1475 N COLE RD, BOISE, ID, 837048537
- Phone
- (208) 809-2880
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #73209
All Addresses
MAILING
10482 W CARLTON BAY DR
GARDEN CITY, ID, 837145143