Individual
MRS. DIANNA MARIE HEIKKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MSN
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2625
Mailing address
12287 W LA GRANGE ST, BOISE, ID 83709-8127
(208) 724-4678
(208) 562-0812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2800
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-519
ID
Other
Enumeration date
04/08/2006
Last updated
01/03/2022
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