Ammara, Inc.

NPI #1821003708 in Ponderay, Idaho

Provider Information

NPI Number
1821003708
Entity Type
Organization
Organization Name
Ammara, Inc.
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
30410 HIGHWAY 200
State
Idaho
ZIP Code
83852-9601
Phone
(208) 263-1345

Authorized Official

Name
KATHY GAVIN, FNP
Title
OWNER
Phone
(208) 263-1345

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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