| NPI | 1790302594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUKE NYARECHA Owner 208-376-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-05-05 |