Individual
KARA DELACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
801 N STILSON RD STE 300, BOISE, ID 83703-5145
(208) 332-4540
Mailing address
801 N STILSON RD STE 300, BOISE, ID 83703-5145
(208) 332-4540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-32262
ID
363L00000X
Nurse Practitioner
Primary
NP-887A
ID
Other
Enumeration date
01/07/2008
Last updated
12/13/2019
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