Individual
ERIN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3525 E LOUISE DR, MERIDIAN, ID 83642-6302
(208) 706-7050
Mailing address
1301 E RAYBURN CT, BOISE, ID 83706-5051
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
43980
ID
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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