person
Mrs. Maria Lynn Tucker, NNP
Neonatal Nurse Practitioner in Boise, Idaho
NPI 1821027764

Maria Lynn Tucker is a Neonatal Nurse Practitioner based in Boise, ID and is specialized in Neonatal. Maria Lynn Tucker practices in Boise, ID and has the professional credentials of NNP. The NPI Number for Maria Lynn Tucker is 1821027764 and holds a License No. NP531A (Idaho).

The current practice location address for Maria Lynn Tucker is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2222.

Location: 190 E Bannock St, Boise, ID, 83712-6241
person
Provider Profile Details
NPI Number
1821027764
Provider Name
Maria Lynn Tucker
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-2222
Fax Number
Provider Enumeration Date
07/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP531A 01 ID STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2222
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
NP531A (Idaho)
Definition
Definition to come...
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