NPI 1003638255

Heidi Ann Fanslow, PMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner Meridian, ID

Practice location

Address: 6830 N Agrarian Ave, Meridian, ID 83646-4532
Phone: (253) 951-8331

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 3861978 (ID)

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Registry record

NPI: 1003638255
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2024
Record last updated: 29 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.