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1972552925
TYLEY R NELSON
BOISE, ID
NPI
1972552925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP602A)
Enumeration Date
2006-05-08
Last Update Date
2012-08-19
Business Address
-- TYLEY R NELSON NP
300 E JEFFERSON ST STE 300
BOISE, ID 83712-6246
Phone number: 208-381-4100
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Mailing Address
-- TYLEY R NELSON NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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