Individual
POLLY JEAN PERYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4598
(208) 422-1137
(208) 422-1332
Mailing address
500 W FORT ST, BOISE, ID 83702-4598
(208) 422-1137
(208) 422-1332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-35407
ID
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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