Balsimo, Andrea Marie

Balsimo, Andrea Marie is an individual health care provider with primary practice located at 750 N Syringa St Ste 190 , Post Falls ID 83854-5275. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Balsimo, Andrea Marie can be contacted via phone (208) 262-2328.

Contact Information

Primary practice address
750 N Syringa St Ste 190 Post Falls ID 83854-5275
Phone: (208) 262-2328
Fax: (208) 619-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 70663 Idaho
Nursing Service Providers / Registered Nurse 163W00000X R184567-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP 4651 Minnesota

Profile Details

NPI number 1912352188
LBN Legal business name Balsimo, Andrea Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2016
Last updated Jan 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912352188 NPPES
Idaho MEDICAID 1912352188

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