| NPI | 1770279606 |
|---|---|
| Doing Business As | IDAHO OUTREACH MEDICINE |
| Entity Type | Organization |
| Authorized Contact | HEATHER BEARD Manager 208-550-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |