Individual provider · NPI-1

Vicki Smith Cutshall, RN

Registered Nurse, Diabetes Educator · Boise, ID

NPI number1982958625
StatusActive
Last updated in NPPESNov 2, 2012

Details

NPI
1982958625
Entity type
Individual (NPI-1)
Name
Vicki Smith Cutshall
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2012
Last updated
Nov 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorN16358IDYes

Other names

  • Vicki Anne Cutshall (Former Name)

Practice location

1226 W River St
Boise, ID 83702-7049

Phone 208-331-1155

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2222

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