Individual
CARRIE R ANSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LCC
Contact information
Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2074
(208) 343-6828
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5989
(208) 343-2074
(208) 343-6828
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
29467
ID
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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