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Search › Idaho › 363LW0102X

Jennifer Mahlberg-Grant, APRN

NPI 1982126686 · on the registry since 2017

Practice

Address
951 E Plaza Dr
Ste 110
Eagle, ID 83616
Phone
(775) 738-5850
Fax
(775) 738-5856
Organisation at this address
Renu Medispa
Specialty Labs Pllc
Synergy Health And Wellness
Evolution Joint Pain Clinic
Treasure Valley Metabolic Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
363L00000X
Licence states on file
ID, NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho