Individual
JOANNA DZIEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
6140 W CURTISIAN AVE STE 200, BOISE, ID 83704-0107
(208) 302-0000
(208) 302-0055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73476
ID
Other
Enumeration date
07/14/2022
Last updated
06/28/2024
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