Individual
HEIDI E JOIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9850 W ST LUKES DR STE 190, NAMPA, ID 83687-7912
(208) 846-8335
(208) 846-8336
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
115451
MO
207RN0300X
Nephrology Physician
Primary
M-17611
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207376500
—
MO
Enumeration date
04/27/2006
Last updated
07/23/2024
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