KELLY IVA WUTHRICH

BOISE, ID
NPI1881307734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N-27621)
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
KELLY IVA WUTHRICH RN, BSN
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1021
Mailing Address
KELLY IVA WUTHRICH RN, BSN
3022 N KUBIK PL
MERIDIAN, ID 83646-8240
Phone number: 208-514-5124