Individual
MRS. TRACY JOANNE TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1529 BELMONT STREET, BOISE, ID 83706
(208) 426-1459
(208) 426-3005
Mailing address
1529 BELMONT ST., BOISE, ID 83706
(208) 426-6248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14384
ID
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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