Individual
COURTNEY NICOLE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
379 E SHORE DR STE 100, EAGLE, ID 83616-5410
(208) 938-3443
(208) 938-3553
Mailing address
4082 N BRYCE CANYON AVE, MERIDIAN, ID 83646-4958
(410) 458-1712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-971A
ID
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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