Individual
MEGAN NETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 E MULLAN AVE, COEUR D ALENE, ID 83814-5240
(208) 748-9485
Mailing address
1915 E MULLAN AVE, COEUR D ALENE, ID 83814-5240
(208) 748-9485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73009
ID
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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