Individual
RACHAEL EVE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
1620 S KIMBALL AVE, CALDWELL, ID 83605-4547
(208) 505-2950
(208) 505-2955
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2661878
ID
363LP0200X
Pediatric Nurse Practitioner
NUR-APRN-LIC-214478
MT
Other
Enumeration date
04/11/2023
Last updated
11/06/2024
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