Individual
CAROLYN S DOEDYNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 POLE LINE RD W STE 2A, TWIN FALLS, ID 83301-4270
(208) 814-8740
(208) 814-8955
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1487A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274089
—
OR
Enumeration date
06/27/2006
Last updated
09/14/2023
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