Organization
AVANT-GARDE HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELA ORBAN ARNP (OWNER)
(909) 801-1533
Entity
Organization
Contact information
Practice address
6240 N CEZANNE DR, COEUR D ALENE, ID 83815-9132
(909) 801-1533
Mailing address
6240 N CEZANNE DR, COEUR D ALENE, ID 83815-9132
(909) 801-1533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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