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Clearwater Medical Center Pllc
Family Nurse Practitioner in Lewiston, Idaho
NPI 1558452268

Clearwater Medical Center Pllc is a Family Nurse Practitioner based in Lewiston, ID and is specialized in Family. Clearwater Medical Center Pllc practices in Lewiston, ID. The NPI Number for Clearwater Medical Center Pllc is 1558452268 and holds a License No. A87025 (Idaho).

The current practice location address for Clearwater Medical Center Pllc is 1522 17Th St, Lewiston, ID and can be reached out via phone at 208-743-8416 and via fax at 208-743-4642.

Location: 1522 17Th St, Lewiston, ID, 83501-3652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558452268
Provider Name
Clearwater Medical Center Pllc
Credential
Provider Entity Type
Organization
Address
1522 17Th St, Lewiston, ID, 83501-3652
Phone Number
208-743-8416
Fax Number
208-743-4642
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1522 17Th St
City
Lewiston
State
Idaho
Zip
83501-3652
Phone Number
208-743-8416
Fax Number
208-743-4642
person
Provider Business Mailing Address Details
Address
1522 17Th St
City
Lewiston
State
Idaho
Zip
83501-3652
Phone Number
208-743-8416
Fax Number
208-743-4642
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
NP740A (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A87025 (Idaho)
Definition
Definition to come...
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