Individual provider · Type 1 NPI
Heidi Ann Fanslow, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1003638255
Active
Practice location
6830 N Agrarian Ave
Meridian, ID 83646-4532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 3861978 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003638255
Heidi Ann Fanslow, PMHNP-BC's National Provider Identifier is 1003638255, issued on Oct 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Oct 29, 2024.