Individual
NERMINA MUSTAFIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
53408
ID
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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