TIFFANY C HEIDT

BOISE, ID
NPI1689683518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  N-34138)
Enumeration Date2006-08-07
Last Update Date2012-09-27
Business Address
-- TIFFANY C HEIDT NP
900 N LIBERTY ST STE 201
BOISE, ID 83704-8707
Phone number: 208-367-6740
Mailing Address
-- TIFFANY C HEIDT NP
PO BOX 4143
BOISE, ID 83711-4143
Phone number: 208-367-6740
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