Individual provider · Type 1 NPI

Kylee Miranda Domby, NP

Family Nurse Practitioner · Boise, ID

NPI number 1124398458 Active

Practice location

1000 N Curtis Rd, Ste 305
Boise, ID 83706

Fax (208) 367-7316

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1088A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1124398458

Kylee Miranda Domby, NP's National Provider Identifier is 1124398458, issued on Jan 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Sep 16, 2013.