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Individual

TRISHA WINEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 388-1996
Mailing address
3463 W BRENEMAN ST, BOISE, ID 83703-5559
(541) 490-3919

Taxonomy

Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
61699
ID
363LW0102X
Women's Health Nurse Practitioner
Primary
61699
ID
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
61699
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61699
STATE APRN LICENSE
ID
Enumeration date
12/05/2014
Last updated
10/28/2024
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