OLIVIA EDVALSON

BOISE, ID
NPI1710411129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  55532)
Enumeration Date2017-04-12
Last Update Date2017-04-12
Business Address
-- OLIVIA EDVALSON FNP
3271 N MILWAUKEE ST
BOISE, ID 83704-4425
Phone number: 208-629-5374
Mailing Address
-- OLIVIA EDVALSON FNP
3271 N MILWAUKEE ST
BOISE, ID 83704-4425
Phone number: 208-629-5374