| NPI | 1700213287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA BARRELIER VERNER Nurse Practitioner 208-850-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1343A) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |