Individual
NEVAEH LIBERTY MONUTEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2273 S VISTA AVE STE 190, BOISE, ID 83705-7341
(208) 343-2737
Mailing address
2273 S VISTA AVE STE 190, BOISE, ID 83705-7341
(208) 343-2737
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
ID
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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