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Search › Idaho › 106S00000X

Monica Virgen

NPI 1184230880 · on the registry since 2020

Practice

Address
12553 W Explorer Dr Ste 190
Boise, ID 83713
Phone
(208) 972-5254
Organisation at this address
Mentor Idaho, Llc
Thrive Community Services, Llc
Trivium Life Services Mountain West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

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
2020-09-17

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