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NPI Profile for DOCTOR OF NURSING PRACTICE PRIMARY CARE LLC in POST FALLS, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1811725088 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/22/2024 | |
| Last updated | 09/10/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DOCTOR OF NURSING PRACTICE PRIMARY CARE LLC