Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | M-16302 | ID |
NPI | 1003006768 |
---|---|
Provider Name | Dr. Maureen A Newman |
First Address | Boise, ID 83706-1309 |
Second Address | Boise, ID 83706-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02893841 | (05) | NY |
G17809 | (02) | NY |