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Individual

NADEZHDA KRAVCHUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687
(208) 302-7000
(208) 302-7055
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(208) 302-7000
(208) 302-7055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59965
ID
363LF0000X
Family Nurse Practitioner
59965
ID

Other

Enumeration date
10/29/2018
Last updated
08/12/2019
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