Individual
ALYSHA KATHRYN SCHLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1075 N CURTIS RD STE 200, BOISE, ID 83706
(208) 302-2000
(208) 302-2055
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(208) 302-2000
(208) 302-2055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-60174
ID
Other
Enumeration date
05/11/2019
Last updated
09/30/2019
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