Individual
LOREEN ANNE NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3611 TAMARACK DR, BOISE, ID 83703-4551
(208) 484-2910
(208) 853-6729
Mailing address
3611 TAMARACK DR, BOISE, ID 83703-4551
(208) 484-2910
(208) 853-6729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-555A
ID
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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