Individual
JOHN-PAUL DENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3886 S SARTEANO AVE, MERIDIAN, ID 83642
(208) 918-3501
(909) 314-2467
Mailing address
9169 W STATE ST # 3411, GARDEN CITY, ID 83714-1733
(208) 918-3501
(909) 314-2467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60093231
WA
363L00000X
Nurse Practitioner
AP60687161
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60687161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066647
—
WA
Enumeration date
08/31/2016
Last updated
05/30/2023
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