Individual
SANDRA MESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
867 S VANGUARD WAY, MERIDIAN, ID 83642-7552
(208) 302-7950
(208) 302-7955
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59692
ID
363LF0000X
Family Nurse Practitioner
2018026389
MO
Other
Enumeration date
08/03/2018
Last updated
09/09/2024
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