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General NPI Number Information
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NPI Number | 1215754445
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Entity Type | Individual
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Provider Name | KIRSTEN NICHOLE STEEN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1411 W FRANKLIN ST
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City | BOISE
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State | ID
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Zip | 83702-5024
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Country | US
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Telephone | 888-224-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 10611 W TREELINE CT
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City | BOISE
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State | ID
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Zip | 83713-1861
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Country | US
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Telephone | 208-515-1602
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1161072
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License Number State | ID
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