person
Jacob Wayda
Family Nurse Practitioner in Nampa, Idaho
NPI 1801657713

Jacob Wayda is a Family Nurse Practitioner based in Nampa, ID and is specialized in Family. Jacob Wayda practices in Nampa, ID. The NPI Number for Jacob Wayda is 1801657713 and holds a License No. 76016 (Idaho).

The current practice location address for Jacob Wayda is 63 Scotch Pine Ln, Nampa, ID and can be reached out via phone at 208-249-8463.

Location: 63 Scotch Pine Ln, Nampa, ID, 83687-3169
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Provider Profile Details
NPI Number
1801657713
Provider Name
Jacob Wayda
Credential
Provider Entity Type
Individual
Gender
Male
Address
63 Scotch Pine Ln, Nampa, ID, 83687-3169
Phone Number
208-249-8463
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
63 Scotch Pine Ln
City
State
Zip
83687-3169
Phone Number
208-249-8463
Fax Number
person
Provider Business Mailing Address Details
Address
63 Scotch Pine Ln
City
State
Zip
83687-3169
Phone Number
208-249-8463
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
76016 (Idaho)
Definition
Definition to come...
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