Individual
CAMILLA GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 W MAIN ST STE 101, BOISE, ID 83702-7304
(208) 381-3915
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69138
ID
Other
Enumeration date
08/30/2021
Last updated
05/16/2023
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