Organization
WEST BOISE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOISE (OWNER)
(208) 731-8169
Entity
Organization
Contact information
Practice address
2427 N COLE RD, BOISE, ID 83704-5907
(208) 639-1855
Mailing address
2427 N COLE RD, BOISE, ID 83704-5907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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