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General NPI Number Information
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NPI Number | 1568151157
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Entity Type | Individual
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Provider Name | KATY FOUTZ RN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 5826 E FRANKLIN RD
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City | NAMPA
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State | ID
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Zip | 83687-5020
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Country | US
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Telephone | 208-593-6340
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Fax | 208-593-6341
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Provider Business Mailing Address
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Address Line | 9223 S FORAKER AVE
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City | KUNA
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State | ID
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Zip | 83634-5328
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Country | US
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Telephone | 208-724-6903
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2871578
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 6671274
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 31881
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License Number State | ID
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