Individual
DR. NANCY BERKHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
(208) 799-5554
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
(208) 799-5554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4825
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001764
REGENCE OF IDAHO
ID
01
—
10001765
REGENCE OF ID URGENT CARE
ID
05
—
8000093
—
WA
01
—
8K552
BLUE CROSS OF ID GROUP
ID
01
—
HBRS5
BLUE CROSS OF IDAHO
ID
Enumeration date
12/22/2006
Last updated
07/09/2007
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