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Genevieve Marie Leetham, APRN
Family Nurse Practitioner in Mountain Home, Idaho
NPI 1669027793

Genevieve Marie Leetham is a Family Nurse Practitioner based in Mountain Home, ID and is specialized in Family. Genevieve Marie Leetham practices in Mountain Home, ID and has the professional credentials of APRN. The NPI Number for Genevieve Marie Leetham is 1669027793 and holds a License No. 5905632-4405 (Idaho).

The current practice location address for Genevieve Marie Leetham is 2280 American Legion Blvd, Mountain Home, ID and can be reached out via phone at 208-587-3988 and via fax at 208-587-3324. You can also correspond with Genevieve Marie Leetham through the mailing address at 2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID - 83647-3142 (mailing address contact number: 208-587-3988).

Location: 2280 American Legion Blvd, Mountain Home, ID, 83647-3142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669027793
Provider Name
Genevieve Marie Leetham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2280 American Legion Blvd, Mountain Home, ID, 83647-3142
Phone Number
208-587-3988
Fax Number
208-587-3324
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2280 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider Business Mailing Address Details
Address
2280 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP-67308 (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5905632-4405 (Utah)
Definition
Definition to come...
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