MEREDITH MANGUM

BOISE, ID
NPI1740663657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1579A)
Enumeration Date2015-07-09
Last Update Date2021-09-30
Business Address
MEREDITH MANGUM FNP-C
608 S PHILLIPPI ST
BOISE, ID 83705-1160
Phone number: 208-580-8888
Mailing Address
MEREDITH MANGUM FNP-C
608 S PHILLIPPI ST
BOISE, ID 83705-1160
Phone number: 208-580-8888
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