PHYLLIS D TEZENO-BURRIS

BOISE, ID
NPI1073542056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  57502)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  NP9976)
Enumeration Date2006-07-01
Last Update Date2019-04-08
Business Address
PHYLLIS D TEZENO-BURRIS NP
1000 E PARK BLVD STE 120
BOISE, ID 83712-7793
Phone number: 208-381-4100
Mailing Address
PHYLLIS D TEZENO-BURRIS NP
1004 W OCEANO BELLO DR
EAGLE, ID 83616-6983
Phone number: 310-613-2235