person
Sergey Kashubin, NP-C
Primary Care Nurse Practitioner in Boise, Idaho
NPI 1912569351

Sergey Kashubin is a Primary Care Nurse Practitioner based in Eagle, ID and is specialized in Primary Care. Sergey Kashubin practices in Boise, ID and has the professional credentials of NP-C. The NPI Number for Sergey Kashubin is 1912569351 and holds a License No. 56339 (Idaho).

The current practice location address for Sergey Kashubin is 10583 W Lake Hazel Rd, Boise, ID and can be reached out via phone at 208-302-5950.

Location: 10583 W Lake Hazel Rd, Boise, ID, 83616-7231
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Provider Profile Details
NPI Number
1912569351
Provider Name
Sergey Kashubin
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
10583 W Lake Hazel Rd, Boise, ID, 83616-7231
Phone Number
208-302-5950
Fax Number
Provider Enumeration Date
07/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10583 W Lake Hazel Rd
City
State
Zip
83709-6326
Phone Number
208-302-5950
Fax Number
person
Provider Business Mailing Address Details
Address
10583 W Lake Hazel Rd
City
State
Zip
83709-6326
Phone Number
208-302-5950
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
56339 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
56339 (Idaho)
Definition
Definition to come...
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