Individual
KATLIN NICOLE FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
910 NW 16TH ST, STE 101, FRUITLAND, ID 83619
(208) 452-8000
(208) 452-8055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 452-8000
(208) 452-8055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59250
ID
Other
Enumeration date
07/17/2018
Last updated
12/29/2023
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