Kelleen Louise Fakenbridge in Boise - Family

Kelleen Louise Fakenbridge - NPI 1710197264

Kelleen Louise Fakenbridge is a Family in Boise, Idaho. Kelleen Louise Fakenbridge practices all healthcare services and medical treatments related to Family. The NPI Number for Kelleen Louise Fakenbridge is 1710197264. The last update date is 2012-06-28.

Kelleen Louise Fakenbridge's current location address is 8324 W Northview St, Boise, Idaho. You can contact this provider via phone number 2083768337. The mailing address for Kelleen Louise Fakenbridge is 8324 W Northview St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelleen Louise Fakenbridge
Address 8324 W Northview St, Boise, Idaho
Phone Number 2083768337
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1710197264
Provider Enumeration Date 2007-05-23
Last Updated Date 2012-06-28

Provider Mailing Address Detail

Address 8324 W Northview St
City Boise
State Idaho (ID)
Post Code 837047184
Phone Number 2083768337
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No NP732
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Kelleen Louise Fakenbridge

What is the Kelleen Louise Fakenbridge's 1710197264?

The Kelleen Louise Fakenbridge's NPI (National Provider Identifier) Number is 1710197264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelleen Louise Fakenbridge's facilities are geographically located?

The facilities of Kelleen Louise Fakenbridge are physically situated at the following location: 8324 W Northview St, Boise, ID, 837047184.

What is the area of specialization for Kelleen Louise Fakenbridge, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelleen Louise Fakenbridge is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.

When did the Kelleen Louise Fakenbridge receive its 1710197264?

The Kelleen Louise Fakenbridge was issued its 1710197264 on 2007-05-23, which is the date when the organization was assigned this unique identifier.

When was the Kelleen Louise Fakenbridge's information last updated?

The Kelleen Louise Fakenbridge's information was last updated on 2012-06-28.

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