Individual provider · NPI-1
Susan Andrews
Registered Nurse, Psych/Mental Health, Adult · Boise, ID
NPI number1356825772
StatusActive
Last updated in NPPESSep 21, 2018
Details
- NPI
- 1356825772
- Entity type
- Individual (NPI-1)
- Name
- Susan Andrews
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2018
- Last updated
- Sep 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 54091 | ID | Yes |
Practice location
1720 N Westgate Dr Ste A-1Boise, ID 83704-7164
Phone 208-334-0894
Mailing address
1720 N Westgate Dr Ste A-1Boise, ID 83704-7164
Phone 208-334-0894
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