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Individual

AMBER LYNN GILLETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP-C

Contact information

Practice address
1111 S ORCHARD ST STE 251, BOISE, ID 83705-1964
(208) 965-1102
Mailing address
PO BOX 44953, BOISE, ID 83711-0953
(986) 224-8424
(208) 504-2821

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63220
ID

Other

Enumeration date
03/10/2020
Last updated
04/05/2020
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