Maybach, Delores
Maybach, Delores is an individual health care provider with primary practice located at 5601 W Chinden Blvd , Garden City ID 83714-1463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maybach, Delores can be contacted via phone (208) 809-2865.Contact Information
Primary practice address
5601 W Chinden Blvd
Garden City ID 83714-1463
Phone: (208) 809-2865
Fax: (208) 809-2866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 56562 | Idaho |
Profile Details
| NPI number | 1689191140 |
|---|---|
| LBN Legal business name | Maybach, Delores |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2017 |
| Last updated | Aug 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689191140 | NPPES |
| Idaho | Other | 56562 | APRN LICENSE |
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