Individual
KRISTA KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 S SANTA CRUZ WAY, BOISE, ID 83709-5164
(661) 805-8099
Mailing address
5500 S SANTA CRUZ WAY, BOISE, ID 83709-5164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7771281
ID
Other
Enumeration date
11/13/2025
Last updated
01/05/2026
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