Individual
KATHERINE L. BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 W FORT ST # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Mailing address
500 W FORT ST # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22034
CA
363LF0000X
Family Nurse Practitioner
Primary
62170
ID
363LF0000X
Family Nurse Practitioner
RN2258804
MA
Other
Enumeration date
10/27/2010
Last updated
02/25/2022
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