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1457941270
KRISTA I PETERSEN
BOISE, ID
NPI
1457941270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 67307)
Enumeration Date
2021-01-25
Last Update Date
2021-03-09
Business Address
KRISTA I PETERSEN FNP-C
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-706-2663
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Mailing Address
KRISTA I PETERSEN FNP-C
6883 E WARM SPRINGS AVE
BOISE, ID 83716-8819
Phone number: 208-550-1673
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