Individual
MS. ANN CUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCFNP
Contact information
Practice address
1252 BENNETT AVE, SUITE B, BURLEY, ID 83318-2664
(208) 878-3486
(208) 878-2005
Mailing address
1252 BENNETT AVE, SUITE B, BURLEY, ID 83318-2664
(208) 878-3486
(208) 878-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N10829
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017297
BLUE SHIELD OF IDAHO
ID
01
—
NPYH0
BLUE CROSS OF IDAHO
ID
Enumeration date
02/09/2007
Last updated
07/08/2007
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