Individual
KYIRSTY BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6533 W EMERALD ST, BOISE, ID 83704-8737
(208) 302-5200
(208) 302-5225
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202005744NP
OR
363LF0000X
Family Nurse Practitioner
Primary
73106
ID
363LF0000X
Family Nurse Practitioner
AP61163603
WA
Other
Enumeration date
01/20/2015
Last updated
03/07/2023
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