Individual
MADISON NICOLE BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-2711
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6267
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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