Individual
KILEY ALYSE ZEITLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6965 N GLENWOOD ST, BOISE, ID 83714-1967
(208) 853-3000
Mailing address
7322 BARON LN, BOISE, ID 83714-5094
(925) 518-1403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54013
ID
Other
Enumeration date
01/20/2022
Last updated
03/14/2022
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