Individual
MRS. ASHLEY ANN ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
Mailing address
190 E BANNOCK ST, PO BOX 550, BOISE, ID 83712-6241
(208) 381-5015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
N-38939
ID
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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