Individual
ANNE MARIE WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4423
Mailing address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4423
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
41038
ID
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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