Individual
BEN BARBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
823 CENTER AVE, PAYETTE, ID 83661-2535
(208) 642-3396
Mailing address
823 CENTER AVE, PAYETTE, ID 83661-2535
(208) 642-3396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53763
ID
Other
Enumeration date
06/22/2016
Last updated
07/21/2022
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