Individual
DEAN BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PMHNP
Contact information
Practice address
13260 HOLLOW RD, CALDWELL, ID 83607-7526
(503) 341-0003
Mailing address
13260 HOLLOW RD, CALDWELL, ID 83607-7526
(503) 341-0003
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10018469
OR
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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