Individual provider · NPI-1

Judy Davis, RN

Registered Nurse, Diabetes Educator · Boise, ID

NPI number1255459798
StatusActive
Last updated in NPPESMar 25, 2013

Details

NPI
1255459798
Entity type
Individual (NPI-1)
Name
Judy Davis
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Last updated
Mar 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorN-18690IDYes

Practice location

11194 W Highmont Dr
Boise, ID 83709-7703

Phone 208-376-3446

Mailing address

11194 W Highmont Dr
Boise, ID 83709-7703

Phone 208-376-3446

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