TYLEY R NELSON

BOISE, ID
NPI1972552925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP602A)
Enumeration Date2006-05-08
Last Update Date2012-08-19
Business Address
-- TYLEY R NELSON NP
300 E JEFFERSON ST STE 300
BOISE, ID 83712-6246
Phone number: 208-381-4100
Mailing Address
-- TYLEY R NELSON NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222