Individual provider · Type 1 NPI
Megan Lynn Gully, NP
Family Nurse Practitioner · Twin Falls, ID
NPI number
1952023905
Active
Practice location
2550 Addison Ave E Ste A
Twin Falls, ID 83301-6748
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 73596 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1952023905
Megan Lynn Gully, NP's National Provider Identifier is 1952023905, issued on Sep 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 15, 2022.