Individual
REBECCA K STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
223 W STATE ST, BOISE, ID 83702-6013
(208) 429-1627
Mailing address
223 W STATE ST, BOISE, ID 83702-6013
(208) 429-1627
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP174-A
ID
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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