Cooley, Kaitlin

Cooley, Kaitlin is an individual health care provider with primary practice located at 4740 N Penngrove Way Ste 100 , Meridian ID 83646-7446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cooley, Kaitlin can be contacted via phone (208) 938-3663.

Contact Information

Primary practice address
4740 N Penngrove Way Ste 100 Meridian ID 83646-7446
Phone: (208) 938-3663
Fax: (208) 938-3664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 58738 Idaho

Profile Details

NPI number 1962160192
LBN Legal business name Cooley, Kaitlin
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2021
Last updated Aug 17th, 2022 - about 3 years ago

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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