NANCY LYNN TATE

BOISE, ID
NPI1023392636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-933)
Enumeration Date2011-09-30
Last Update Date2017-03-30
Business Address
-- NANCY LYNN TATE PA-C
3668 NORTH LAKE HARBOR LN
BOISE, ID 83703
Phone number: 800-230-7526
Mailing Address
-- NANCY LYNN TATE PA-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2121