Individual
EMILY TYLER GETLEIN MARQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-1615
Mailing address
3964 S CONSTITUTION WAY, BOISE, ID 83706-5818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
47188
ID
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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