Individual
KIRSTIE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 LENA ST, SALMON, ID 83467-4208
(208) 756-8515
Mailing address
705 LENA ST, SALMON, ID 83467-4208
(208) 756-8515
(208) 756-8385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35464
ID
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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