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Individual

MS. CONNIE M. HOLSCLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1075 N CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 323-0031
(208) 323-0064
Mailing address
1075 N CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 323-0031
(208) 323-0064

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
N-10853
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N-10853
REGISTERED NURSE
ID
Enumeration date
05/29/2007
Last updated
07/08/2007
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