MS. KELLEEN LOUISE FAKENBRIDGE NP NPI 1710197264

NPI Information

NPI: 1710197264
Provider Name: MS. KELLEEN LOUISE FAKENBRIDGE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8324 W NORTHVIEW ST
SUITE 100
BOISE, ID
ZIP 83704
Phone: (208) 376-8337
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MS. Kelleen Louise Fakenbridge, NP is a family nurse practitioner in Boise, ID. MS. Kelleen Louise Fakenbridge, NP NPI is 1710197264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8324 W NORTHVIEW ST
SUITE 100
BOISE, ID
ZIP 83704-184
Phone: (208) 376-8337
Fax: (208) 376-8344

The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP732	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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