Individual
KAITLIN COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7446
(208) 938-3663
(208) 938-3664
Mailing address
4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7446
(208) 938-3663
(208) 938-3664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58738
ID
Other
Enumeration date
12/05/2021
Last updated
08/17/2022
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