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Anastasia Deforge

NPI 1063330678 · on the registry since 2026

Practice

Address
115 Carrie Rex Ave
Melba, ID 83641
Phone
(702) 768-8875

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho