Doctor Name: | MRS. DEBORAH L. NEMETZ |
NPI Number: | 1861658239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP |
License Number: | 19023A |
Business Practice Address: | 283 N 1st East Driggs Health Clinic Driggs, ID - 834225112 |
Business Phone Number: | 2083542302 |
Business Fax Number: | 2083548392 |
Mailing Address: | 120 East Howard Avenue, Teton Valley Hospital DRIGGS |
State: | ID |
Postal Code: | 834225112 |
Phone Number: | 2083542383 |
Fax Number: | 2083543158 |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19023A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |