Individual
MRS. ELIZABETH PUCKETT THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN AGACNP-BC
Contact information
Practice address
3015 E GOLDSTONE DR STE 230, MERIDIAN, ID 83642-1224
(208) 398-4306
(208) 500-2823
Mailing address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56592
ID
Other
Enumeration date
05/12/2010
Last updated
03/14/2025
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