Dorene M Boydston, NP

NPI #1073524989 in Boise, Idaho

Provider Information

NPI Number: 1073524989
Entity Type: Individual
Name: Dorene M Boydston, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Aug 10, 2006
Last Updated: Mar 2, 2011

Practice Location

Address: 190 E BANNOCK ST
City: Boise
State: Idaho
ZIP Code: 83712-6241
Phone: (208) 381-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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