Individual
MRS. MARI JESSICA AITKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
909 S ALLANTE PL, BOISE, ID 83709-1612
(208) 377-5433
Mailing address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1053A
ID
Other
Enumeration date
04/30/2011
Last updated
07/10/2020
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