Individual
MS. LISA MARCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
960 S BROADWAY AVE, SUITE 505, BOISE, ID 83706-3600
(208) 780-6255
(208) 780-6291
Mailing address
960 S BROADWAY AVE, SUITE 505, BOISE, ID 83706-3600
(208) 780-6255
(208) 780-6291
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
N-26683
ID
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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