Greene Mountain Medical

NPI #1124710009 in Nampa, Idaho

Provider Information

NPI Number
1124710009
Entity Type
Organization
Organization Name
Greene Mountain Medical
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 22, 2023
Last Updated
Jul 5, 2023

Practice Location

Address
3719 WHEELER CIR
City
Nampa
State
Idaho
ZIP Code
83686-7949
Phone
(208) 695-0388

Authorized Official

Name
AIMEE ELIZABETH SHEPARD, FNP
Title
OWNER
Phone
(208) 695-0388

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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