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1235654955
KRISTY D CROWNHART
BOISE, ID
NPI
1235654955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56394)
Enumeration Date
2017-08-03
Last Update Date
2022-03-24
Business Address
KRISTY D CROWNHART NP
500 W FORT ST # 111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
KRISTY D CROWNHART NP
500 W FORT ST # 111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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