Individual
ANDREA ELIZABETH CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2939 W EXCURSION LN, MERIDIAN, ID 83642-5308
(208) 385-7711
Mailing address
2321 S ORMOND ST, BOISE, ID 83705-4439
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4671950
ID
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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