person
Mr. Leland Charles Tebout
Ambulatory Care Registered Nurse in Boise, Idaho
NPI 1356058259

Leland Charles Tebout is an Ambulatory Care Registered Nurse based in Jackson, ID and is specialized in Ambulatory Care. Leland Charles Tebout practices in Boise, ID. The NPI Number for Leland Charles Tebout is 1356058259 and holds a License No. RN122374 (Idaho).

The current practice location address for Leland Charles Tebout is 500 W Fort St, Boise, ID and can be reached out via phone at 208-422-1000.

Location: 500 W Fort St, Boise, ID, 30233-4957
person
Provider Profile Details
NPI Number
1356058259
Provider Name
Leland Charles Tebout
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 W Fort St, Boise, ID, 30233-4957
Phone Number
208-422-1000
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 W Fort St
City
State
Zip
83702-4501
Phone Number
208-422-1000
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Fort St
City
State
Zip
83702-4501
Phone Number
208-422-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
RN122374 (Georgia)
Definition
Definition to come...
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