Individual
BECCA WARNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
725 POLE LINE RD W, TWIN FALLS, ID 83301-5860
(208) 814-1600
(208) 814-1910
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63303
ID
Other
Enumeration date
07/01/2019
Last updated
11/11/2024
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