Individual
RACHEL LYNNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
63884
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63884
APRN-CNP LICENSE NUMBER
ID
Enumeration date
02/20/2020
Last updated
02/20/2020
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