institution
Evergreen Physical Medicine, Llc
Family Nurse Practitioner in Meridian, Idaho
NPI 1538668421

Evergreen Physical Medicine, Llc is a Family Nurse Practitioner based in Meridian, ID and is specialized in Family. Evergreen Physical Medicine, Llc practices in Meridian, ID. The NPI Number for Evergreen Physical Medicine, Llc is 1538668421 and holds a License No. (Idaho).

The current practice location address for Evergreen Physical Medicine, Llc is 1710 W Cherry Ln, Meridian, ID and can be reached out via phone at 208-895-8595.

Location: 1710 W Cherry Ln, Meridian, ID, 83642-1340
institution
Provider Profile Details
NPI Number
1538668421
Provider Name
Evergreen Physical Medicine, Llc
Credential
Provider Entity Type
Organization
Address
1710 W Cherry Ln, Meridian, ID, 83642-1340
Phone Number
208-895-8595
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1710 W Cherry Ln
City
State
Zip
83642-1340
Phone Number
208-895-8595
Fax Number
person
Provider Business Mailing Address Details
Address
1710 W Cherry Ln
City
State
Zip
83642-1340
Phone Number
208-895-8595
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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