Individual
HARRY THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2468 E SUMMERDAWN DR, MERIDIAN, ID 83642-7771
(208) 206-5062
Mailing address
2468 E SUMMER DAWN ST, MERIDIAN, ID 83646-7771
(208) 206-5062
(208) 206-5062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP418A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805776202
—
ID
Enumeration date
05/09/2006
Last updated
11/29/2012
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