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1003650177
KAITLIN EDMINSTEN
BOISE, ID
NPI
1003650177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: ID 74901)
Enumeration Date
2024-06-22
Last Update Date
2024-08-05
Business Address
KAITLIN EDMINSTEN DNP, AGACNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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Mailing Address
KAITLIN EDMINSTEN DNP, AGACNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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