Search › Idaho › 101YP2500X
Glory Wanless
NPI 1750990644 · on the registry since 2020
Practice
- Address
- 10787 W Ustick Rd
Boise, ID 83713 - Phone
- (208) 672-1801
- Fax
- (855) 212-5682
- Organisation at this address
- Avery'S House Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 847 Parkcentre Way Ste 7, Nampa, ID
- 7941 W Rifleman St, Boise, ID
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Sex
- Female
- Record last updated
- 2020-07-27
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