Individual
MICHELLE P DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 W STATE ST, STE 100, BOISE, ID 83702-4085
(208) 947-7700
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1351A
ID
Other
Enumeration date
08/19/2014
Last updated
11/25/2014
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