Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP-1607A | ID |
N | 363LF0000X | Nurse Practitioner - Family Medicine | NP1607A | ID |
NPI | 1003282708 |
---|---|
Provider Name | Dr. Nancy Jane L'heureux |
First Address | Boise, ID 83704-8731 |
Second Address | Boise, ID 83704-8731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2015 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003282708 | (05) | ID |