NPI 1215936034

Heather Nicole Knutson, NP

Practitioner Dermatology Physician Eagle, ID

Practice location

Address: 1605 E Riverside Drive, Eagle, ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence NP672A (ID)

Other Dermatology providers in Idaho →

Registry record

NPI: 1215936034
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2005
Record last updated: 3 Nov 2022

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.