Individual
MS. MICHELE RENEE BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
(208) 375-2658
Mailing address
5714 N ARMSTRONG AVE, BOISE, ID 83704-1908
(208) 794-8953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57930
ID
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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