Individual
JUDITH EILEEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2419 W STATE ST STE 9, BOISE, ID 83702-3167
(208) 724-8482
Mailing address
2950 S OWYHEE ST, BOISE, ID 83705-4643
(208) 344-6099
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
N-9828
ID
Other
Enumeration date
04/17/2013
Last updated
07/21/2022
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