Individual
ALTAN URBAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 919-2455
Mailing address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 899-9062
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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