MCKAYLA ANN LIVELY

TWIN FALLS, ID
NPI1093538852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  9861073)
Enumeration Date2024-10-31
Last Update Date2025-01-07
Business Address
MCKAYLA ANN LIVELY APRN-CNP
775 POLE LINE RD W STE 203
TWIN FALLS, ID 83301-5820
Phone number: 208-814-8300
Mailing Address
MCKAYLA ANN LIVELY APRN-CNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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