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Individual

HEATHER LOUISE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 763-8920
(208) 203-0947
Mailing address
4204 N MOCCASIN RD, COEUR D ALENE, ID 83815-8826
(087) 638-9202
(208) 203-0947

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1651
ID
363LF0000X
Family Nurse Practitioner
4208
MN
363LF0000X
Family Nurse Practitioner
AP61219055
WA
363LF0000X
Family Nurse Practitioner
Primary
NP1651A
ID

Other

Enumeration date
11/10/2015
Last updated
09/17/2025
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