person
Mr. Mark Mitchell Roubidoux II
Acute Care Nurse Practitioner in Lewiston, Idaho
NPI 1629685235

Mark Mitchell Roubidoux II is an Acute Care Nurse Practitioner based in Lewiston, ID and is specialized in Acute Care. Mark Mitchell Roubidoux II practices in Lewiston, ID. The NPI Number for Mark Mitchell Roubidoux II is 1629685235 and holds a License No. 39235 (Idaho).

The current practice location address for Mark Mitchell Roubidoux II is 201 18Th Ave, Lewiston, ID and can be reached out via phone at 208-305-3537. You can also correspond with Mark Mitchell Roubidoux II through the mailing address at 201 18TH AVE, LEWISTON, ID - 83501-2768 (mailing address contact number: 208-305-3537).

Location: 201 18Th Ave, Lewiston, ID, 83501-2768
person
Provider Profile Details
NPI Number
1629685235
Provider Name
Mark Mitchell Roubidoux II
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 18Th Ave, Lewiston, ID, 83501-2768
Phone Number
208-305-3537
Fax Number
Provider Enumeration Date
09/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 18Th Ave
City
State
Zip
83501-2768
Phone Number
208-305-3537
Fax Number
person
Provider Business Mailing Address Details
Address
201 18Th Ave
City
State
Zip
83501-2768
Phone Number
208-305-3537
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
39235 (Idaho)
Definition
Definition to come...
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