Individual
MARY STONE-ARAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 N 2ND ST STE 206, BOISE, ID 83702-6130
(208) 342-2516
Mailing address
222 N 2ND ST STE 206, BOISE, ID 83702-6130
(208) 342-2516
(208) 342-1661
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
281
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139602
REGENCE BLUE SHIELD OF ID
HI
01
—
13D0521509
CLIA LAB ID NUMBER
ID
05
—
805192300
—
ID
01
—
N-14600
IDAHO STATE LICENSE
ID
01
—
NP-281A
IDAHO STATE LICENSE
ID
01
—
NPXP6
BLUE CROSS OF IDAHO
ID
Enumeration date
01/31/2006
Last updated
07/09/2007
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