Individual
GLORIA WORKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP72A
ID
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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