Individual
COLE DANIEL SZYMKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGANCP-BC
Contact information
Practice address
3715 E OVERLAND RD STE 105, MERIDIAN, ID 83642-8300
(208) 906-9128
Mailing address
3715 E OVERLAND RD STE 105, MERIDIAN, ID 83642-8300
(208) 906-9128
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
75604
ID
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
75604
ID
Other
Enumeration date
02/14/2024
Last updated
06/10/2025
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