Individual
MRS. KATHLEEN WERNER-LEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, NPP
Contact information
Practice address
427 N ARTHUR AVE STE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881
Mailing address
427 N ARTHUR AVE STE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNS-15A, N-28258
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149937
REGENCE BLUE SHIELD
ID
01
—
NPSB4
BLUE CROSS
ID
Enumeration date
01/26/2007
Last updated
07/08/2007
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