Organization
COLLEGE OF WESTERN IDAHO-MEDICAL EXPRESS CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERIE BURKE (ADMINISTRATOR)
(208) 562-2707
Entity
Organization
Contact information
Practice address
2407 NAMPA CALDWELL BLVD, NO. 168, NAMPA, ID 83651-1515
(208) 562-2200
(208) 562-2207
Mailing address
2407 NAMPA CALDWELL BLVD, NO. 168, NAMPA, ID 83651-1515
(208) 562-2200
(208) 562-2207
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
NP885A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740475680
NPI
ID
Enumeration date
08/11/2011
Last updated
08/11/2011
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