Nancy Lynn Tate, PA-C

NPI #1023392636 in Boise, Idaho

Provider Information

NPI Number: 1023392636
Entity Type: Individual
Name: Nancy Lynn Tate, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 30, 2011
Last Updated: Mar 30, 2017

Practice Location

Address: 3668 NORTH LAKE HARBOR LN
City: Boise
State: Idaho
ZIP Code: 83703
Phone: (800) 230-7526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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