| NPI | 1740544089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SEARLE Family Nurse Practitioner 208-221-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-657A) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-02-19 |