Avant-Garde Healthcare Pllc
NPI #1215772066 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1215772066
- Entity Type
- Organization
- Organization Name
- Avant-Garde Healthcare Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 25, 2024
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 6240 N CEZANNE DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-9132
- Phone
- (909) 801-1533
Authorized Official
- Name
- MANUELA ORBAN, ARNP
- Title
- OWNER
- Phone
- (909) 801-1533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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