Regional Physician Services of Idaho, PC

NPI #1417246158 in Nampa, Idaho

Provider Information

NPI Number
1417246158
Entity Type
Organization
Organization Name
Regional Physician Services of Idaho, PC
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 4, 2011
Last Updated
Dec 11, 2019

Practice Location

Address
1105 2ND ST S STE 100
City
Nampa
State
Idaho
ZIP Code
83651-3911
Phone
(480) 862-1677

Authorized Official

Name
VICTORIA ALVAREZ
Title
DIRECTOR, CREDENTIALING
Phone
(480) 862-1695

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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