GENEVIEVE MARIE LEETHAM APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1669027793- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473142
- Phone
- (208) 587-3988
- Fax
- (208) 587-3324
Specialties & Taxonomies
Nurse Practitioner
License: UT #5905632-4405
Nurse Practitioner, Family
Primary License: ID #NP-67308