Individual
CHELSEA E DEDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N CURTIS, BOISE, ID 83706-1309
(208) 367-7350
(208) 367-3951
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1116A
ID
Other
Enumeration date
11/29/2011
Last updated
02/20/2013
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