Individual
MICHELLE LEE CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6933 W EMERALD ST, BOISE, ID 83704-8616
(208) 321-0634
(208) 321-1082
Mailing address
6933 W EMERALD ST, BOISE, ID 83704-8616
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N-1665A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265565477
—
ID
Enumeration date
12/11/2015
Last updated
12/11/2015
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