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Individual

MRS. LEEANNE B SHERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN-BC

Contact information

Practice address
2770 CORTEZ AVE, IDAHO FALLS, ID 83404-7590
(208) 522-4000
(208) 528-4242
Mailing address
2770 CORTEZ AVE, IDAHO FALLS, ID 83404-7590
(208) 522-4000
(208) 528-4242

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
N31764
ID
363L00000X
Nurse Practitioner
Primary
NP587
ID

Other

Enumeration date
03/21/2006
Last updated
07/08/2007
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