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NPI Code Detail

MEDICARE: KAITLIN ZOE HAWS DNP,ARNP

MEDICARE: KAITLIN ZOE HAWS DNP,ARNP
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
1363LW0102XWomen's Health Nurse Practitioner201150153NPOR
2363LA2200XAdult Health Nurse Practitioner201150153NPOR

General Provider Information

NPI Number : 1518243112
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ZOE HAWS DNP,ARNP
Provider Business Mailing Address
First Line : 500 W FORT ST.
Second Line : CRH 2ND FLOOR
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1018
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FORT ST.
Second Line : CRH 2ND FLOOR
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2011
Last Update Date : 02/25/2026

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