Individual
MR. JOHN PAUL MAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4599
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4599
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
53629
ID
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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