Individual
LACIE SHILO ASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2311 PARKE AVE, UNIT 2 SUITE 6&8, BURLEY, ID 83318-2170
(208) 878-6413
(208) 878-6417
Mailing address
2311 PARK AVE, SUITE 6, BURLEY, ID 83318-2170
(208) 878-6413
(208) 878-6417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-944A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609107176
—
ID
Enumeration date
01/23/2010
Last updated
07/01/2022
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