MAVERICK MITTON

TWIN FALLS, ID
NPI1396602249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  5671698)
Enumeration Date2026-01-05
Last Update Date2026-03-09
Business Address
MAVERICK MITTON FNP-C
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301-5819
Phone number: 208-814-8375
Mailing Address
MAVERICK MITTON FNP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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