IDAHO COUNTY DERMATOLOGY, PLLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1922835859- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 113 S A ST, GRANGEVILLE, ID, 835301428
- Phone
- (208) 695-6668
Specialties & Taxonomies
Nurse Practitioner
Primary