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1992341150
ANDREA NICOLE STEVENS
NAMPA, ID
NPI
1992341150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 63151)
Enumeration Date
2019-11-22
Last Update Date
2020-01-29
Business Address
ANDREA NICOLE STEVENS FNP
1115 12TH AVE RD
NAMPA, ID 83686-5738
Phone number: 208-498-1080
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Mailing Address
ANDREA NICOLE STEVENS FNP
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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