Kristine Lynn Theis NP

NPI 1134198088 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1134198088
Gender Female
Enumeration Date 03/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 W FORT ST
#116
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax (208) 422-1241
Business Location
1286 E GRAND CANYON ST
MERIDIAN ID, 83646, US
Phone (208) 888-1183
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Idaho
License Number NP266
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According to our database, Mrs. Kristine Lynn Theis NP NPI is 1134198088, taxonomy code is 363LF0000X and license number is NP266, license state is located at Idaho. Kristine Lynn Theis NP physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Kristine Lynn Theis NP has the Individual type.

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1134198088 NPI number is provided on an as is basis without warranty of any kind. 1134198088 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Lynn Theis NP are for informational purposes only.