Search › Idaho › 171M00000X
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NPI 1760753578 · on the registry since 2012
Practice
- Address
- 1619 W Roston Ct
Nampa, ID 83686 - Phone
- (208) 571-4018
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2025-10-16
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