Individual
TABETHA MCHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 STOLL CT, CALDWELL, ID 83607-5054
(208) 899-7119
Mailing address
2621 STOLL CT, CALDWELL, ID 83607-5054
(208) 899-7119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP54497
ID
Other
Enumeration date
12/25/2021
Last updated
08/14/2025
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