Individual
MRS. ANNIE C FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W. FORT ST, BOISE, ID 83702
(208) 422-7760
(208) 422-1243
Mailing address
2787 STONY FORK WAY, BOISE, ID 83706
(208) 383-9059
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-260A
ID
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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