Individual
MRS. KRISTINA LEEANN LIEBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 385-3230
(208) 385-4088
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 385-3230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
869-A
ID
Other
Enumeration date
07/22/2008
Last updated
09/05/2023
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