Individual
SUZANNE ELISE MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
381 S MIDDLETON RD STE B, MIDDLETON, ID 83644-5369
(208) 585-6311
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69911
ID
Other
Enumeration date
01/10/2022
Last updated
07/26/2023
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