Individual
MRS. MADISON BLAKELY HELFRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4460
Mailing address
417 S 6TH ST, BOISE, ID 83702-7632
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
46652
ID
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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