Individual
ANNA MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5941
(208) 343-2079
(208) 343-6828
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5941
(208) 343-2079
(208) 343-6828
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
49583
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49583
IDAHO BOARD OF NURSING
ID
Enumeration date
02/15/2024
Last updated
02/15/2024
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