| NPI | 1396983052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M ANDERSON President 208-265-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-802A) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |