Paige Marie Knickrehm, NP, CNM, BSN | |
520 S Eagle Rd Ste 3209, Meridian, ID 83642-6356 | |
(208) 706-3220 | |
Not Available |
Full Name | Paige Marie Knickrehm |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 520 S Eagle Rd Ste 3209, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982336525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 56047 (Idaho) | Secondary |
367A00000X | Advanced Practice Midwife | 56047 (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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Paige Marie Knickrehm, NP, CNM, BSN 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Paige Marie Knickrehm, NP, CNM, BSN 520 S Eagle Rd Ste 3209, Meridian, ID 83642-6356 Ph: (208) 706-3220 |
Ms. Helene F Reusser, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 2110, Meridian, ID 83642 Phone: 208-706-3220 | |
Diane M Hulbert, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3025 W Cherry Ln, Suite B, Meridian, ID 83642 Phone: 208-367-8550 Fax: 208-367-8555 |