Individual
KELSEY ANN ECHEVERRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9850 W ST LUKES DR STE 270, NAMPA, ID 83687-7912
(208) 205-7820
(208) 205-7822
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53220
ID
Other
Enumeration date
09/29/2022
Last updated
10/30/2023
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