SearchIdahoRegistered Nurse

Jeffery Ly, RN

NPI 1194229310 · on the registry since 2018 · sole proprietor

Practice

Address
11961 Pheasant Run St
Caldwell, ID 83605
Phone
(208) 590-8166
Clinicians at this address
2

Registry record

Primary taxonomy
Registered Nurse
163W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-21

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