FUNCTIONAL MEDICINE OF NORTH IDAHO, PLLC

Nurse Practitioner

NPI: 1750920401Organization

Specialties, Licenses & Credentials

Clinic/Center

Code: 261Q00000X

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 8382 N WAYNE DR STE 204
HAYDEN, ID 83835
Phone: (208) 635-5265

Quick Facts

NPI: 1750920401
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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