Individual
NANCY JO ELSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 367-6030
(208) 367-6123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9487
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891732319
—
ID
Enumeration date
06/01/2006
Last updated
01/19/2018
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