Individual
TESIA MULTANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
2253 E ROANOKE DR, BOISE, ID 83712-7534
(208) 761-6611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-28805
ID
Other
Enumeration date
11/20/2016
Last updated
11/01/2022
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