Individual
MARCI AHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 POLE LINE RD W, SUITE 203, TWIN FALLS, ID 83301-5814
(208) 814-8300
(208) 733-8970
Mailing address
775 POLE LINE ROAD WEST, SUITE NUMBER 203, TWIN FALLS, ID 83301
(208) 814-8300
(208) 733-8970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55418
ID
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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