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Preventative Health Valid NPI

Organization · Family Nurse Practitioner · Eagle, ID

NPI
1922377027
Type
Organization (Type 2)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
Enumerated
2011-12-19
Last updated
2017-04-10
Practice location
531 S Fitness Pl Ste 100
Eagle, ID 83616-6552
(208) 853-2273

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