Individual
JOSHUA SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
801 POLE LINE RD W STE 3810, TWIN FALLS, ID 83301-5811
(208) 814-8150
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59973
ID
363L00000X
Nurse Practitioner
AP61046922
WA
363LF0000X
Family Nurse Practitioner
AP61046922
WA
Other
Enumeration date
10/30/2018
Last updated
10/03/2022
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