Individual
KAYLA DENISE SALCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1588 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-4795
(208) 377-5166
Mailing address
1075 N CURTIS RD BLDG N6, BOISE, ID 83706-1300
(208) 377-5166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41827
ID
363LF0000X
Family Nurse Practitioner
Primary
59946
ID
Other
Enumeration date
07/16/2018
Last updated
12/11/2018
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