Individual
MEREDITH ASHLEY SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4477 W EMERALD ST STE C100, BOISE, ID 83706-2058
(833) 719-0886
Mailing address
PO BOX 1545, MERIDIAN, ID 83680-1545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2022059159
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022059159
ID
Other
Enumeration date
10/10/2022
Last updated
01/02/2025
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