Idahodhwbh3 Np

NPI #1881722171 in Caldwell, Idaho

Provider Information

NPI Number
1881722171
Entity Type
Organization
Organization Name
Idahodhwbh3 Np
Primary Specialty
Nurse Practitioner
Enumeration Date
Mar 1, 2007
Last Updated
Nov 2, 2009

Practice Location

Address
3402 FRANKLIN RD
State
Idaho
ZIP Code
83605-6932
Phone
(208) 459-0092

Authorized Official

Name
MR. TODD L HURT, M.S.
Title
FIELD OPERATIONS MANAGER
Phone
(208) 455-7057

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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