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Individual

HEIDI HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
746 N COLLEGE RD, SUITE A, TWIN FALLS, ID 83301-3486
(208) 814-7271
(208) 814-7290
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-933A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700191913
ID
01
P00964800
MCRR
ID
Enumeration date
08/11/2010
Last updated
10/05/2012
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