Individual
JAMES RYAN FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
3928 N MCKINLEY PARK AVE, MERIDIAN, ID 83646-6050
(208) 724-0521
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-1296A
ID
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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