Individual
HOUNG K CHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1072 N LIBERTY ST STE 200, BOISE, ID 83704-8963
(208) 302-4100
(208) 302-4135
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1620A
ID
363LP2300X
Primary Care Nurse Practitioner
RN2268311
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285971747
—
ID
Enumeration date
01/03/2013
Last updated
07/09/2024
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