Western Skies Wellness and Primary Care, P.c.

NPI #1568255636 in Council, Idaho

Provider Information

NPI Number
1568255636
Entity Type
Organization
Organization Name
Western Skies Wellness and Primary Care, P.c.
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
May 22, 2025
Last Updated
May 22, 2025

Practice Location

Address
119 ILLINOIS AVE
State
Idaho
ZIP Code
83612-7709
Phone
(208) 849-3725

Authorized Official

Name
JODI HANEY
Title
CREDENTIALING/CONTRACTING
Phone
(541) 410-5394

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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