Organization
SOUTHERN IDAHO FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ZIEMER FNP (FNP/OWNER)
(208) 871-8768
Entity
Organization
Contact information
Practice address
5524 S PINLAND AVE, MERIDIAN, ID 83642-7353
(208) 985-3864
Mailing address
1200 N MAIN ST UNIT 184, MERIDIAN, ID 83680-5013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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