SearchIdahoCommunity Health Worker

Tyray Petty

NPI 1891555025 · on the registry since 2024

Practice

Address
6305 W Overland Rd
Boise, ID 83709
Phone
(208) 605-3663
Organisation at this address
Hand In Hand Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
Community Health Worker
172V00000X
Also registered as
Case Manager/Care Coordinator
Sex
Male
Record last updated
2024-03-22

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