Krystle Ann Cogswell, FNP-C
Nurse Practitioner, Family in Caldwell, ID. Individual provider (NPI-1).
NPI number1497464689
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1497464689
- Entity type
- Individual (NPI-1)
- Name
- Miss Krystle Ann Cogswell
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2022
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 74515 | ID | Yes |
Practice location
315 E Elm St Ste 201Caldwell, ID 83605-4857
Phone 208-514-2528
Mailing address
777 N Raymond StBoise, ID 83704-9251
Phone 208-514-2500
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