Individual
CARIE A WEGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W CURTISIAN AVE STE 100, BOISE, ID 83704-0109
(208) 302-0000
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7871867
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2025
Last updated
07/31/2025
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