Individual
ABBY ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 12TH AVE RD STE 200, NAMPA, ID 83686-6008
(208) 302-6800
(208) 302-6855
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL40895
SC
207Q00000X
Family Medicine Physician
Primary
M-15453
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
04/18/2017
Last updated
12/03/2020
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