Individual
DANA M PEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 322-1680
(208) 322-1695
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 322-1680
(208) 322-1695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP714A
ID
Other
Enumeration date
05/23/2006
Last updated
03/14/2018
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