NPI 1669027793

Genevieve Marie Leetham, APRN

Practitioner Family Nurse Practitioner Mountain Home, ID

Practice location

Address: 2280 American Legion Blvd, Mountain Home, ID 83647-3142
Phone: (208) 587-3988
Fax: (208) 587-3324

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence NP-67308 (ID)

Other Nurse Practitioner providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 5905632-4405 (UT)

Registry record

NPI: 1669027793
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2019
Record last updated: 27 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.