Individual
JANICE PREUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301
(208) 814-3633
Mailing address
2200 SELWAY ST, TWIN FALLS, ID 83301-7868
(208) 420-9769
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
31630
ID
363LN0000X
Neonatal Nurse Practitioner
Primary
31630
ID
Other
Enumeration date
05/31/2018
Last updated
07/10/2018
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