Individual
BERNIECE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
85 S MIDDLETON RD, NAMPA, ID 83651-1526
(208) 505-2800
(208) 505-2801
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
65189
ID
Other
Enumeration date
01/10/2024
Last updated
09/06/2024
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