Individual
ANN ELIZABETH KNIERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 N CURTIS ROAD, STE 501, BOISE, ID 83706
(208) 302-3900
(208) 302-3905
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-3900
(208) 302-3905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14737
NV
207X00000X
Orthopaedic Surgery Physician
5867
NE
207X00000X
Orthopaedic Surgery Physician
M-13829
ID
207XX0801X
Orthopaedic Trauma Physician
14737
NV
207XX0801X
Orthopaedic Trauma Physician
Primary
M-13829
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28061
NEBRASKA LICENSE
NE
Enumeration date
06/26/2008
Last updated
07/21/2022
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