Individual
BRITTNEY SUZANNE MCCUISTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 N 11TH ST, BOISE, ID 83702-5332
(208) 344-5502
(888) 965-4924
Mailing address
1177 W STATE ST, BOISE, ID 83702-5346
(208) 344-5502
(888) 965-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39655
ID
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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