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Tyra Peone
NPI 1316698624 · on the registry since 2022
Practice
- Address
- 9259 W Stoneham Dr
Boise, ID 83714 - Phone
- (917) 727-0486
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-24
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