ID PHS LLC

Nurse Practitioner

NPI: 1245613967Organization

Specialties, Licenses & Credentials

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 950 W. BANNCOCK STREET STE 1100
BOISE, ID 83702
Phone: (337) 991-9276

Location

Practice Location

950 W. BANNCOCK STREET STE 1100, BOISE, ID

Quick Facts

NPI: 1245613967
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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