Individual
REBECCA LEE GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
124 5TH ST STE A, WILDER, ID 83676-5542
(208) 482-7430
(208) 482-7272
Mailing address
124 5TH ST STE A, WILDER, ID 83676-5542
(208) 482-7430
(208) 482-7272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1220A
ID
Other
Enumeration date
10/15/2012
Last updated
05/29/2015
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