Individual
KELSEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1000 E PARK BLVD STE 110, BOISE, ID 83712-7792
(208) 342-5900
Mailing address
2120 W STATE ST, BOISE, ID 83702-3843
(208) 863-8170
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
55233
ID
Other
Enumeration date
08/11/2022
Last updated
08/16/2022
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