Organization · Type 2 NPI
Star Medical Center PC
General Practice Registered Nurse · Star, ID
NPI number
1508918244
Active
Practice location
9858 W State St
Star, ID 83669-5210
Fax (208) 286-0565
Mailing address
PO Box 44267
Boise, ID 83711-0267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | None listed |
General Practice Registered Nurse: Definition to come...
5 other providers at this address
- Beverlee K Furner, NP PLLCFamily Nurse Practitioner Star, ID NPI 1447702683
- Owyhee Family Medicine PLLCFamily Medicine Physician Star, ID NPI 1245910470
- Elena JacobsFamily Nurse Practitioner Star, ID NPI 1316617681
- Elmer G. Dodge Jr., FNPNurse Practitioner Star, ID NPI 1508918236
- Sherry Lynn Stanton, NPFamily Nurse Practitioner Star, ID NPI 1578062048
About NPI 1508918244
Star Medical Center PC's National Provider Identifier is 1508918244, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Star, ID. The record was last updated on May 14, 2013.