Individual
MISS BRIGITTA PANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
418 W REESE ST, BOISE, ID 83706-6233
(208) 571-0386
Mailing address
418 W REESE ST, BOISE, ID 83706-6233
(208) 571-0386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59231
ID
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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