Individual
CAMERON MCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1308 8TH ST STE 1, RUPERT, ID 83350
(208) 436-4322
(208) 436-1312
Mailing address
1224 8TH STREET STE 1, RUPERT, ID 83350-1527
(208) 434-8236
(208) 436-6038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP830A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8073867
—
ID
01
—
N23998
RN LICENSE
ID
01
—
NP830A
NP LICENSE NUMBER
ID
Enumeration date
05/31/2007
Last updated
08/25/2023
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