Individual
CHRISTA MARIE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2800 W OVERLAND RD, BOISE, ID 83705-3038
(208) 810-8615
Mailing address
4570 S DENISON AVE, MERIDIAN, ID 83642-9224
(724) 991-1758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79487
ID
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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