STACI MARSH

MERIDIAN, ID
NPI1366911414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  60102)
Enumeration Date2018-11-19
Last Update Date2018-11-19
Business Address
STACI MARSH
1550 N CRESTMONT DR
MERIDIAN, ID 83642-2184
Phone number: 208-985-2260
Mailing Address
STACI MARSH
702 S PEARL ST
BOISE, ID 83705-1764
Phone number: