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Individual

MS. HELENE F REUSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
520 S EAGLE RD, SUITE 2110, MERIDIAN, ID 83642-6351
(208) 706-3220
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM 10A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265506000
ID
05
806258100
ID
Enumeration date
11/20/2006
Last updated
01/07/2014
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