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DR. KATHLEEN ANN BARON APRN, CNP, FNP, PNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1164864724

Individual Registrant:
DR. KATHLEEN ANN BARON APRN, CNP, FNP, PNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
114 S MAIN ST  FIRTH, ID 83236-1168 US
Tel: 208-346-6614  Fax: 208-346-6638

Contact information for business:
114 S MAIN ST  FIRTH, ID 83236-1168 US
Tel: 208-346-6614  Fax: 208-346-6638

Registration Information:
NPI: 1164864724
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
IDNP-1291A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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