Gayle Matsumuro
Gayle Matsumuro is a Psychiatric/Mental Health Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
413 N Allumbaugh St Ste 101Boise, ID 83704-9219
Phone: (208) 323-1125
Fax: (208) 323-1905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 26983 (ID) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 64061 (ID) |
Record details
| NPI number | 1730712266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | April 24, 2020 |
| Certification date | April 24, 2020 |
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Evangelina McNamara
413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 · (208) 323-1125
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