Individual
JUNE REILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6259 W EMERALD ST, SUITE 1, BOISE, ID 83704-8731
(208) 489-1900
(208) 489-1929
Mailing address
6259 W EMERALD ST, SUITE 1, BOISE, ID 83704-8731
(208) 489-1900
(208) 489-1929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1033A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730182205
NPI
ID
Enumeration date
05/27/2005
Last updated
02/13/2017
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