Individual
STEVEN LEE MASCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 733-1662
Mailing address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 733-1662
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
68552
ID
363L00000X
Nurse Practitioner
Primary
68552
ID
363LA2100X
Acute Care Nurse Practitioner
68552
ID
363LF0000X
Family Nurse Practitioner
68552
ID
363LP2300X
Primary Care Nurse Practitioner
68552
ID
363LX0106X
Occupational Health Nurse Practitioner
68552
ID
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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