Individual provider · Type 1 NPI

Kelleen Louise Fakenbridge, NP

Family Nurse Practitioner · Boise, ID

NPI number 1710197264 Active

About NPI 1710197264

Kelleen Louise Fakenbridge, NP's National Provider Identifier is 1710197264, issued on May 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jun 28, 2012.