Organization
RESTORE SLEEP NOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DOUGLAS MARTIN NP-C (MANAGER)
(951) 312-9646
Entity
Organization
Contact information
Practice address
11186 W TIOGA ST, BOISE, ID 83709-3343
(951) 312-9646
Mailing address
PO BOX 190775, BOISE, ID 83719-0775
(951) 312-9646
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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