Individual
HEATHER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 463-7300
Mailing address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 463-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1672A
ID
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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