Individual provider · NPI-1

Kristin Marie Brown, rn

Registered Nurse, Diabetes Educator · Boise, ID

NPI number1083861546
StatusActive
Last updated in NPPESAug 26, 2008

Details

NPI
1083861546
Entity type
Individual (NPI-1)
Name
Kristin Marie Brown
Credential
rn
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2008
Last updated
Aug 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes EducatorN36800IDYes

Practice location

1226 W River St
Boise, ID 83702-7049

Phone 208-331-1155 · Fax 208-383-0190

Mailing address

4821 Collister Dr
Boise, ID 83703-3732

Phone 208-424-0132

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