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Individual

LUE SHAWNTEL INEZ YOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP

Contact information

Practice address
803 S MAIN ST, MOSCOW, ID 83843-2695
(208) 848-8300
Mailing address
803 S MAIN ST, MOSCOW, ID 83843-2695
(208) 848-8300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75486
ID

Other

Enumeration date
02/10/2023
Last updated
02/10/2023
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