Individual
J ROYE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1052 W MILL AVE, COEUR D'ALENE, ID 83814
(208) 664-3301
(877) 653-2694
Mailing address
PO BOX 238, HAYDEN, ID 83835-0238
(208) 664-3301
(877) 653-2694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-368A
ID
Other
Enumeration date
05/22/2006
Last updated
01/08/2013
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