Individual
JUDY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11194 W HIGHMONT DR, BOISE, ID 83709-7703
(208) 376-3446
Mailing address
11194 W HIGHMONT DR, BOISE, ID 83709-7703
(208) 376-3446
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
N-18690
ID
Other
Enumeration date
03/26/2007
Last updated
03/25/2013
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