Organization
ZORA NEUROSPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAREY CRILL ARNP-C (OWNER)
(208) 284-4533
Entity
Organization
Contact information
Practice address
1000 N CURTIS RD STE 202, BOISE, ID 83706-1346
(208) 648-4100
Mailing address
1000 N CURTIS RD STE 202, BOISE, ID 83706-1346
(208) 648-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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