| NPI | 1811750458 |
|---|---|
| Former Legal Business Name | ONEPEAK MEDICAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIE COLEMAN Owner 208-821-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-05-13 |