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St. Mary's Hospital
Family Nurse Practitioner in Cottonwood, Idaho
NPI 1568633592

St. Mary's Hospital is a Family Nurse Practitioner based in Cottonwood, ID and is specialized in Family. St. Mary's Hospital practices in Cottonwood, ID. The NPI Number for St. Mary's Hospital is 1568633592 and holds a License No. (Idaho).

The current practice location address for St. Mary's Hospital is 701 Lewiston Street, Cottonwood, ID and can be reached out via phone at 208-962-3267 and via fax at 208-962-2313.

Location: 701 Lewiston Street, Cottonwood, ID, 83522-0565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568633592
Provider Name
St. Mary's Hospital
Credential
Provider Entity Type
Organization
Address
701 Lewiston Street, Cottonwood, ID, 83522-0565
Phone Number
208-962-3267
Fax Number
208-962-2313
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805066400 05 ID
institution
Provider Business Practice Location Address Details
Address
701 Lewiston Street
City
Cottonwood
State
Idaho
Zip
83522-0565
Phone Number
208-962-3267
Fax Number
208-962-2313
person
Provider Business Mailing Address Details
Address
701 Lewiston Street
City
Cottonwood
State
Idaho
Zip
83522-0565
Phone Number
208-962-3267
Fax Number
208-962-2313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(Idaho)
Definition
Definition to come...
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