| NPI |
Provider Name |
Address |
Type |
| 1821003708 | AMMARA, INC. | 30410 HIGHWAY 200
PONDERAY, ID
ZIP 83852
Phone: (208) 263-1345
| Organization |
| 1932758083 | GRAHAM CHARLES ANDREWS | 400 SCHWEITZER PLAZA DR STE 1
PONDERAY, ID
ZIP 83852
Phone: (208) 263-0649
| Individual |
| 1770598559 | KATHY GAVIN, FNP | 30410 HIGHWAY 200
PONDERAY, ID
ZIP 83852
Phone: (208) 263-1345
| Individual |
| 1669756813 | NICHOLE SUZANNE GRIMM, NP | 30544 HIGHWAY 200
STE 101
PONDERAY, ID
ZIP 83852
Phone: (208) 263-6300
| Individual |
| 1770112138 | JUSTIN HENDERSON, NP | 30544 ID-200
#101
PONDERAY, ID
ZIP 83852
Phone: (208) 263-6300
| Individual |
| 1255597811 | TRAVIS LEE TAYLOR, FNP-C, CRNFA | 30544 HIGHWAY 200 STE 102
PONDERAY, ID
ZIP 83852
Phone: (208) 265-9817
| Individual |