Individual
MRS. MONIQUE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 810-2298
Mailing address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 810-2298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53252
ID
363LF0000X
Family Nurse Practitioner
Primary
12480251-4405
UT
Other
Enumeration date
12/29/2021
Last updated
01/08/2023
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