Individual
MRS. KATHY MAE FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP & RN
Contact information
Practice address
500 W FORT ST, VAMC, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1241
Mailing address
500 W FORT ST, VAMC, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-332A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP-332A
NURSE PRACTITIONER
ID
Enumeration date
08/19/2006
Last updated
07/08/2007
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