| Mr Jeffery Thomas Ly, RN | |
|
11961 Pheasant Run St, Caldwell, ID 83605-5082 | |
| (208) 590-8166 | |
| Not Available |
| Full Name | Mr Jeffery Thomas Ly |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 11961 Pheasant Run St, Caldwell, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194229310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 46147 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffery Thomas Ly, RN 11961 Pheasant Run St, Caldwell, ID 83605-5082 Ph: (208) 590-8166 | Mr Jeffery Thomas Ly, RN 11961 Pheasant Run St, Caldwell, ID 83605-5082 Ph: (208) 590-8166 |
Cathy L Allison, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 713 Haystack Way, Caldwell, ID 83605 Phone: 208-454-4820 Fax: 208-454-4859 | |
Mrs. Emily Hammond, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 713 Haystack Way, Caldwell, ID 83605 Phone: 208-454-5820 | |
Travis Henderson, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Leslie Annette Havrilak, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 | |
Ms. Coty Lynn Freeman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11961 Pheasant Run St, Caldwell, ID 83605 Phone: 208-590-8156 | |
Alicia Ann Jones, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 |