Individual
MRS. GABRIELLE I DYMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1475 N COLE RD, BOISE, ID 83704-8537
(208) 809-2880
(208) 809-2881
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54902
ID
363LF0000X
Family Nurse Practitioner
54902
ID
Other
Enumeration date
07/08/2020
Last updated
10/29/2025
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