Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP-918 | ID |
NPI | 1003049925 |
---|---|
Provider Name | Dawn D Best |
First Address | Mountain Home, ID 83647-3142 |
Second Address | Mountain Home, ID 83647-3142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2009 |
Last Update Date | 18/03/2020 |