Johnson, Heather Marie

Johnson, Heather Marie is an individual health care provider with primary practice located at 1072 N Liberty St Suite 203, Boise ID 83704-8708. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Heather Marie can be contacted via phone (208) 302-5800.

Contact Information

Primary practice address
1072 N Liberty St Suite 203 Boise ID 83704-8708
Phone: (208) 302-5800
Fax: (208) 302-5855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1185A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP-1185A Idaho

Profile Details

NPI number 1518214154
LBN Legal business name Johnson, Heather Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2012
Last updated Nov 10th, 2016 - about 9 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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