Gem Family Practice

NPI 1407919749 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1407919749
Enumeration Date 12/18/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBORAH A DEBORAH
Position FNP
Phone (208) 365-3455
Fax (208) 365-3422
Practice Location
1108 S WASHINGTON AVE
EMMETT ID, 83617-3535, US
Phone (208) 365-3455
Fax (208) 365-3422
Business Location
1108 S WASHINGTON AVE
EMMETT ID, 83617-3535, US
Phone (208) 365-3455
Fax (208) 365-3422
Toxanomy
Taxonomy Code 363L00000X
License State Idaho
License Number NP238A
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According to our database, Gem Family Practice NPI is 1407919749, taxonomy code is 363L00000X and license number is NP238A, license state is located at Idaho. Gem Family Practice physically located at 1108 S Washington Ave, Emmett ID, 83617-3535. NPI Number 1033115704 has the healthcare provider type.

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1407919749 NPI number is provided on an as is basis without warranty of any kind. 1407919749 is maintained by the National Plan & Provider Enumeration System. The contents of Gem Family Practice are for informational purposes only.