Individual
SAMANTHA ANN PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
901 N CURTIS RD STE 503, BOISE, ID 83706-1343
(208) 302-4000
(208) 302-4025
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67592
ID
Other
Enumeration date
04/12/2021
Last updated
10/29/2021
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