Individual
SUMMER ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 283-7549
Mailing address
608 W RESSEGUIE ST, BOISE, ID 83702-4354
(208) 283-7549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1565A
ID
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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