| NPI | 1407403355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBINSON Owner/Provider 208-912-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-10-15 |