Individual
JOHN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1000 N CURTIS RD STE 202, BOISE, ID 83706-1346
(208) 283-7314
Mailing address
1000 N CURTIS RD STE 202, BOISE, ID 83706-1346
(208) 283-7314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60130
ID
Other
Enumeration date
07/25/2022
Last updated
08/11/2022
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