FUNCTIONAL MEDICINE OF NORTH IDAHO, PLLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1750920401- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8382 N WAYNE DR STE 204, HAYDEN, ID, 838356028
- Phone
- (208) 635-5265
- Fax
- (208) 635-5218
Specialties & Taxonomies
Clinic/Center
Nurse Practitioner
Primary