Elizabeth Balleweg

NPI #1295372308 in Boise, Idaho

Provider Information

NPI Number
1295372308
Entity Type
Individual
Name
Elizabeth Balleweg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Dec 9, 2019
Last Updated
Dec 9, 2019

Practice Location

Address
2306 N 31ST ST
City
Boise
State
Idaho
ZIP Code
83703-5628
Phone
(406) 546-7469

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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