Organization
MARGARET LEVERETT, RNCNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET LEVERETT RNCNP (OWNER)
(208) 535-9009
Entity
Organization
Contact information
Practice address
2305 CORONADO STREET, IDAHO FALLS, ID 83404
(208) 535-9009
(208) 535-9020
Mailing address
PO BOX 2426, IDAHO FALLS, ID 83403-2426
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP223A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002592100
—
ID
Enumeration date
08/31/2006
Last updated
09/14/2016
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