HEIDI ANN FANSLOW

MERIDIAN, ID
NPI1003638255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  3861978)
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
HEIDI ANN FANSLOW PMHNP-BC
6830 N AGRARIAN AVE
MERIDIAN, ID 83646-4532
Phone number: 253-951-8331
Mailing Address
HEIDI ANN FANSLOW PMHNP-BC
6830 N AGRARIAN AVE
MERIDIAN, ID 83646-4532
Phone number: 253-951-8331
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