Individual
MRS. CHANDRA DAWN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1660 S WOODSAGE AVE BLDG A, MERIDIAN, ID 83642-7670
(208) 906-1231
Mailing address
1660 S WOODSAGE AVE BLDG A, MERIDIAN, ID 83642-7670
(208) 906-1231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58028
ID
Other
Enumeration date
08/11/2023
Last updated
02/04/2025
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