Susan Eliane Ault

NPI #1528271103 in Boise, Idaho

Provider Information

NPI Number
1528271103
Entity Type
Individual
Name
Susan Eliane Ault
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Obstetrics & Gynecology
Enumeration Date
May 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
707 N ARMSTRONG PL
City
Boise
State
Idaho
ZIP Code
83704-0825
Phone
(208) 327-8626

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Obstetrics & GynecologyObstetrics & Gynecology

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