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Individual

KRYSTAL KAE DEMONEY-HENDRICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1015 W HAYS ST STE 107, BOISE, ID 83702-5412
(208) 515-2812
(888) 551-6190
Mailing address
1015 W HAYS ST STE 107, BOISE, ID 83702-5412
(208) 515-2812
(888) 551-6190

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
67149
ID

Other

Enumeration date
03/08/2021
Last updated
09/05/2023
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