| NPI | 1174577100 |
|---|---|
| Doing Business As | ST. MARY'S HEALTH |
| Entity Type | Organization |
| Authorized Contact | LENNE BONNER CEO 208-476-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-01-27 |