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Individual

BREA DANIELLE MCLAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
6140 W CURTISIAN AVE STE 102, BOISE, ID 83704-0109
(208) 302-0000
(208) 302-0220
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76324
ID
363L00000X
Nurse Practitioner
AP60309072
WA
363LF0000X
Family Nurse Practitioner
APRN.CNP.024491
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0354926
OH
05
1710230974
WA
Enumeration date
10/24/2012
Last updated
08/02/2023
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