Individual
MARY HANNAH RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1672 S WOODSAGE AVE STE 120, MERIDIAN, ID 83642-8332
(208) 515-2273
Mailing address
10850 W FLORENCE DR UNIT 104, BOISE, ID 83713-8054
(740) 646-6809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
70369
ID
363LF0000X
Family Nurse Practitioner
Primary
70369
ID
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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