Individual
KRISTIE KATHERINE TAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3525 E LOUISE DR STE 400, MERIDIAN, ID 83642-6303
(208) 322-1680
(208) 884-3096
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6561172
ID
363LA2100X
Acute Care Nurse Practitioner
95015018
CA
Other
Enumeration date
09/17/2020
Last updated
02/04/2025
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