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Individual

IMELDA JOAN WEDDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
13500 S PLEASANT VALLEY RD, KUNA, ID 83634-2709
(208) 658-2000
Mailing address
1523 S ISLAND GLENN WAY, EAGLE, ID 83616-7111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77183
ID

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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