Individual
KRISTY HANDYSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WCC
Contact information
Practice address
1525 ADDISON AVE E STE A2, TWIN FALLS, ID 83301-5300
(877) 223-8007
(661) 725-5252
Mailing address
10524 W THOMPSON RD, COEUR D ALENE, ID 83814-7157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
234790
MT
363LF0000X
Family Nurse Practitioner
Primary
61427
ID
363LF0000X
Family Nurse Practitioner
AP61475074
WA
Other
Enumeration date
05/16/2019
Last updated
09/25/2024
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