| NPI | 1740554237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ROSSI Patient Financial Services 208-557-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ID W 110632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2021-01-25 |