IDAHODHWBH3 NP
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1881722171- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3402 FRANKLIN RD, CALDWELL, ID, 836056932
- Phone
- (208) 459-0092
- Fax
- (208) 454-7714
Specialties & Taxonomies
Nurse Practitioner
Primary