Individual
MARY ELIZABETH VERHAEGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 N MAIN ST, BELLEVUE, ID 83313-5093
(208) 725-3145
(208) 725-3146
Mailing address
621 N MAIN ST, BELLEVUE, ID 83313-5093
(208) 725-3145
(208) 725-3146
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4871142
ID
Other
Enumeration date
05/10/2023
Last updated
02/24/2025
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