Individual provider · Type 1 NPI
Mitzi M. Cieslak, NP
Pediatric Nurse Practitioner · Boise, ID
NPI number
1326388653
Active
Practice location
100 E Idaho St, Ste 200
Boise, ID 83712-6267
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | N25439 (ID) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1326388653
Mitzi M. Cieslak, NP's National Provider Identifier is 1326388653, issued on Feb 23, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Feb 23, 2013.