Individual
NORA LYNN PRODZSINKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
960 S BROADWAY AVE STE 505, BOISE, ID 83706-3630
(208) 780-6255
(208) 780-6291
Mailing address
11600 E GATFIELD RD, EMMETT, ID 83617-5000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
43213
ID
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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