Individual
DUKE M NYARECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
9850 W ST LUKES DR STE 320, NAMPA, ID 83687-7912
(208) 505-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59040
ID
Other
Enumeration date
07/06/2018
Last updated
12/07/2023
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