Individual
KRISTY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
91400 N NEACOXIE ST, BUILDING 7315, WARRENTON, OR 97146
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
62047
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
62047
ID
Other
Enumeration date
08/14/2019
Last updated
06/29/2021
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