Dorene M Boydston NP

NPI 1073524989 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073524989
Gender Female
Enumeration Date 08/10/2006
Last Updated 03/02/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Idaho
License Number NP754A
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According to our database, Dorene M Boydston NP NPI is 1073524989, taxonomy code is 363L00000X and license number is NP754A, license state is located at Idaho. Dorene M Boydston NP physically located at 190 E Bannock St, Boise ID, 83712-6241. NPI Number Dorene M Boydston NP has the Individual type.

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1073524989 NPI number is provided on an as is basis without warranty of any kind. 1073524989 is maintained by the National Plan & Provider Enumeration System. The contents of Dorene M Boydston NP are for informational purposes only.