Individual
DR. MATTHEW MITCHELL DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4832
Mailing address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
61448
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
61448
ID
363LG0600X
Gerontology Nurse Practitioner
61448
ID
Other
Enumeration date
09/12/2023
Last updated
03/30/2025
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