Ji Young An, | |
1226 W River St, Boise, ID 83702-7049 | |
(208) 331-1155 | |
Not Available |
Full Name | Ji Young An |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1226 W River St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205435757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | 44024 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | F10200434 (Idaho) | Primary |
Entity Name | Unity Health Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912221318 PECOS PAC ID: 8325177330 Enrollment ID: O20100601000774 |
Entity Name | Sterling Provider Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417001724 |
Mailing Address | Practice Location Address |
---|---|
Ji Young An, 5030 N Chimney Peak Ave, Meridian, ID 83646-2922 Ph: (208) 713-4770 | Ji Young An, 1226 W River St, Boise, ID 83702-7049 Ph: (208) 331-1155 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 | |
Natasha Michele King-anderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Armstrong Pl, Boise, ID 83704 Phone: 208-375-5211 |