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NPI Code Detail

MEDICARE: KRISTEN FESTA

MEDICARE:   KRISTEN  FESTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0003XInpatient Obstetric Registered Nurse71675ID

General Provider Information

NPI Number : 1356293641
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN FESTA
Provider Business Mailing Address
First Line : 521 N 10TH AVE # 171
Second Line :
City : CALDWELL
State : ID
Zip : 83605-2925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 521 N 10TH AVE # 171
Second Line :
City : CALDWELL
State : ID
Zip : 83605-2925
Country : US
Telephone Number : 208-279-7749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ KRISTEN FESTA ” Practice Location

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