Mrs Kimberly Demark, NP | |
100 E Idaho St, Suite 300, Boise, ID 83712-6267 | |
(208) 381-7370 | |
Not Available |
Full Name | Mrs Kimberly Demark |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 E Idaho 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 |
---|---|---|---|
1821442708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | N-36946 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP-1699A (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Mrs Kimberly Demark, NP 100 E Idaho St, Suite 300, Boise, ID 83712-6267 Ph: () - | Mrs Kimberly Demark, NP 100 E Idaho St, Suite 300, Boise, ID 83712-6267 Ph: (208) 381-7370 |
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 |