Organization
ICARE VIRTUAL URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALIY N NEBYSHINETS PA (OWNER/PROVIDER)
(559) 299-4920
Entity
Organization
Contact information
Practice address
15649 SEQUOIA GROVE WAY, CALDWELL, ID 83607-5147
(559) 299-4920
Mailing address
15649 SEQUOIA GROVE WAY, CALDWELL, ID 83607-5147
(559) 299-4920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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