NPI 1124214788
Kathleen Fagerland, CNM
Practice location
- Address
- 200 2nd Ave N, Twin Falls, ID 83301-6158
- Phone
- (208) 734-9955
- Fax
- (208) 734-9966
- Mailing address
- 3668 N Harbor Ln, Boise, ID 83703-6914
Registered specialties
Women's Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1124214788
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Sep 2007
- Record last updated
- 18 Sep 2007
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.