Individual
ERIN MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-0000
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
60235
ID
363LG0600X
Gerontology Nurse Practitioner
9009534-4405
UT
Other
Enumeration date
08/15/2014
Last updated
02/11/2019
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