| NPI | 1386750552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROLE L BECK Family Nurse Practitioner 208-433-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-541A) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |