Individual
MEGAN ASHLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2088
(208) 381-2893
Mailing address
4408 W CLARK CIR, BOISE, ID 83705-2001
(281) 660-5864
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
53463
ID
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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