Individual
MS. ERIN FENNERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E IDAHO ST STE 316, BOISE, ID 83712-6269
(208) 381-9350
(208) 381-9351
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
M-17325
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2013
Last updated
08/29/2023
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