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Delores Maybach, NURSEPRACTITIONER
Family Nurse Practitioner in Garden City, Idaho
NPI 1689191140

Delores Maybach is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Delores Maybach practices in Garden City, ID and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Delores Maybach is 1689191140 and holds a License No. 56562 (Idaho).

The current practice location address for Delores Maybach is 5601 W Chinden Blvd, Garden City, ID and can be reached out via phone at 208-809-2865 and via fax at 208-809-2866.

Location: 5601 W Chinden Blvd, Garden City, ID, 83719-1050
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Provider Profile Details
NPI Number
1689191140
Provider Name
Delores Maybach
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
5601 W Chinden Blvd, Garden City, ID, 83719-1050
Phone Number
208-809-2865
Fax Number
208-809-2866
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56562 01 ID APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
5601 W Chinden Blvd
City
State
Zip
83714-1463
Phone Number
208-809-2865
Fax Number
208-809-2866
person
Provider Business Mailing Address Details
Address
5601 W Chinden Blvd
City
State
Zip
83714-1463
Phone Number
208-809-2865
Fax Number
208-809-2866
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
56562 (Idaho)
Definition
Definition to come...
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