Organization
FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROANNE MANCARI NP-C (OWNER)
(208) 731-6971
Entity
Organization
Contact information
Practice address
476 CHENEY DRIVE WEST, SUITE 160, TWIN FALLS, ID 83301
(208) 944-0497
(208) 944-0506
Mailing address
476 CHENEY DRIVE WEST, SUITE 160, TWIN FALLS, ID 83301
(208) 944-0497
(208) 944-0506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-986A
ID
Other
Enumeration date
06/20/2012
Last updated
08/26/2013
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