Individual
LENARD L MALMIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1115 12TH AVE RD, NAMPA, ID 83686-5738
(208) 498-1080
(208) 498-1081
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67470
ID
363LF0000X
Family Nurse Practitioner
67470
ID
Other
Enumeration date
06/07/2021
Last updated
02/18/2026
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