Individual
ALEX MICHAEL CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1597
(208) 847-1630
Mailing address
PO BOX 293, GEORGETOWN, ID 83239-0293
(208) 705-0229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56200
ID
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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