Individual
ALEXANDRIA CAVARETTA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
367 S ACADEMY LN, EAGLE, ID 83616-7470
(985) 778-7582
Mailing address
367 S ACADEMY LN, EAGLE, ID 83616-7470
(985) 778-7582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75938
ID
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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