Individual
MS. KATHRYN FERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST FL 9, BOISE, ID 83712-6241
(208) 381-3971
(208) 381-2566
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53081
ID
Other
Enumeration date
07/21/2020
Last updated
11/16/2021
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