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Individual

DENISE R BAHADAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2061 N NYBORG WAY, MERIDIAN, ID 83646-1262
(208) 392-8383
(866) 575-9302
Mailing address
2061 N NYBORG WAY, MERIDIAN, ID 83646-1262
(208) 392-8383
(866) 575-9302

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1169A
ID

Other

Enumeration date
07/28/2012
Last updated
03/24/2022
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