Individual
DISERTHE NYIRANGABIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S MILFORD PL, NAMPA, ID 83687-6820
(701) 651-3022
Mailing address
740 S MILFORD PL, NAMPA, ID 83687-6820
(469) 685-5512
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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