Individual
LEIGH SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
195 N 4242 E, RIGBY, ID 83442-5986
(208) 697-7115
Mailing address
195 N 4242 E, RIGBY, ID 83442-5986
(208) 697-7115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4071640
ID
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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