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Individual

KEELY MARLENE COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
520 S EAGLE RD STE 2207, MERIDIAN, ID 83642-6354
(208) 381-7335
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
230200
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
63105
ID

Other

Enumeration date
07/31/2019
Last updated
09/06/2022
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