Individual
MRS. ZABRINA YVETTE THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
(208) 529-3890
Mailing address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
(208) 529-3890
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA218
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010032423
BLUE SHIELD
ID
01
—
PAZD4
BLUE CROSS
ID
Enumeration date
11/14/2006
Last updated
07/12/2016
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