Individual
KERI J BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
N31247
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-888A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010171638
BLUE SHIELD OF IDAHO
ID
05
—
808300200
—
ID
01
—
NP278
BLUE CROSS OF ID
ID
Enumeration date
11/27/2008
Last updated
10/29/2013
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