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Individual

SUSAN ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 334-0894
Mailing address
1720 N WESTGATE DR STE A-1, BOISE, ID 83704-7164
(208) 334-0894

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
54091
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54091
IDAHO BOARD OF NURSING
ID
Enumeration date
09/21/2018
Last updated
09/21/2018
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