Individual
ZACHERY GLEN ENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
3863 N BROOKINGS PL, BOISE, ID 83713-3656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1761673
ID
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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