Nurse Practitioner Connect LLC

NPI #1215804984 in Bonners Ferry, Idaho

Provider Information

NPI Number
1215804984
Entity Type
Organization
Organization Name
Nurse Practitioner Connect LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 18, 2025
Last Updated
Oct 18, 2025

Practice Location

Address
2023 MOON SHADOW RD
State
Idaho
ZIP Code
83805-5424
Phone
(208) 255-9073

Authorized Official

Name
ELISABETH MARIE MACKEY, NP
Title
OWNER, FAMILY NURSE PRACTITIONER
Phone
(208) 255-9073

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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