Individual
DEVHAN ROXANNE MORGAN-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3525 E LOUISE DR STE 195, MERIDIAN, ID 83642-6303
(208) 846-8335
(208) 846-8336
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2971635
ID
Other
Enumeration date
12/03/2024
Last updated
03/04/2025
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