Individual
SONYA L CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 S EAGLE RD, SUITE 100, EAGLE, ID 83616-6067
(208) 939-8200
(208) 939-8222
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1181A
ID
Other
Enumeration date
06/18/2012
Last updated
06/21/2012
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