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Organization

BLUE ZONE HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYUDMYLA NORGART ARNP (DIRECTOR)
(813) 230-4241
Entity
Organization

Contact information

Practice address
40 E LITTLE AVE, DRIGGS, ID 83422-5138
(813) 230-4241
Mailing address
40 E LITTLE AVE, DRIGGS, ID 83422-5138
(813) 230-4241

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/05/2024
Last updated
09/17/2024
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