NPI | 1578342119 |
---|---|
Doing Business As | PACIFIC NOBLE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JESSICA NOBLE CEO 208-413-8449 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-09-25 |
Last Update Date | 2024-04-22 |