Gem Family Practice

NPI #1407919749 in Emmett, Idaho

Provider Information

NPI Number
1407919749
Entity Type
Organization
Organization Name
Gem Family Practice
Primary Specialty
Nurse Practitioner
Enumeration Date
Dec 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1108 S WASHINGTON AVE
City
Emmett
State
Idaho
ZIP Code
83617-3535
Phone
(208) 365-3455

Authorized Official

Name
MS. DEBORAH A CASDORPH, FNP
Title
FNP
Phone
(208) 365-3455

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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