Individual provider · NPI-1

Heather Marie Andrade, FNP

Nurse Practitioner, Family · Nampa, ID

NPI number1710692645
StatusActive
Last updated in NPPESFeb 6, 2023

Details

NPI
1710692645
Entity type
Individual (NPI-1)
Name
Mrs. Heather Marie Andrade
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2023
Certification date
Feb 6, 2023
Last updated
Feb 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family74916IDYes

Practice location

9850 W St Lukes Dr # 329
Nampa, ID 83687-7912

Phone 208-514-2509 · Fax 208-375-2217

Mailing address

777 N Raymond St
Boise, ID 83704-9251

Phone 208-514-2500 · Fax 208-375-2217

Other practice locations

215 E Hawaii Ave # 140
Nampa, ID 83686-6011

Phone 208-514-2529 · Fax 208-375-2217

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