Search › Idaho › 363LF0000X
Jeremy Basse, FNP
NPI 1578726485 · on the registry since 2008
Practice
- Address
- 856 Banks Lowman Road
Garden Valley, ID 83622 - Phone
- (208) 462-3533
- Fax
- (208) 462-3736
- Organisation at this address
- Garden Valley Family Medicine Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- AK, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-28
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