RACHEL ELLEDGE CPNP-PC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1770204521- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP-PC
- Status
- Active
Contact & Location
- Address
- 305 E JEFFERSON ST, BOISE, ID, 837126231
- Phone
- (208) 381-6196
- Fax
- (208) 381-6199
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: ID #55305
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241