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Gerontology Nurse Practitioner
NPI: 1891310892IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
64857(ID)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 211 E LOGAN ST
CALDWELL, ID 83605 - Phone
- (208) 963-1871
Quick Facts
- NPI
- 1891310892
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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