Individual
FAITH YOUNG PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 MAIN, MARSING, ID 83639
(208) 896-4159
(208) 896-4917
Mailing address
PO BOX 9, 211 16TH AVENUE NORTH, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-4684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP296A
IL
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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