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Individual

MS. CAREY DAWN CRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5440 W FRANKLIN RD STE 108, BOISE, ID 83705-6433
(208) 283-7314
(208) 322-5379
Mailing address
5440 W FRANKLIN RD STE 108, BOISE, ID 83705-6433
(208) 283-7314
(208) 322-5379

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-391A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457530693
ID
Enumeration date
10/24/2007
Last updated
12/17/2018
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