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Individual

ROXANNE OHLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 466-7869
(208) 466-5359

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
N31806
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N31806
RN LICENSE
ID
Enumeration date
09/02/2006
Last updated
07/08/2007
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