Individual
CARA NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12731 N 12TH AVE, BOISE, ID 83714-9331
(208) 473-9235
Mailing address
12731 N 12TH AVE, BOISE, ID 83714-9331
(208) 473-9235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
48002
ID
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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