Individual
MINDY LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, FNP-C
Contact information
Practice address
4401 N EAGLE RD STE 102, BOISE, ID 83713-4818
(208) 295-4417
(866) 455-1021
Mailing address
4401 N EAGLE RD STE 102, BOISE, ID 83713-4818
(208) 295-4417
(866) 455-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200441592RN
OR
Other
Enumeration date
03/19/2018
Last updated
11/25/2024
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