Individual
KRISTY D CROWNHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Mailing address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56394
ID
Other
Enumeration date
08/03/2017
Last updated
03/24/2022
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