Individual
KIMBERLY ANNE HARTRICK BUECHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2550 ADDISON AVE E STE ABANDF, TWIN FALLS, ID 83301-6767
(208) 814-8000
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
60626
ID
363LP0200X
Pediatric Nurse Practitioner
APN.0993432-NP
CO
Other
Enumeration date
01/01/2018
Last updated
02/08/2023
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