Individual provider · Type 1 NPI
Crissie Lynne Bacon, FNP
Family Nurse Practitioner · Nampa, ID
NPI number
1871992776
Active
Practice location
312 3rd St S
Nampa, ID 83651-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1474A (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1871992776
Crissie Lynne Bacon, FNP's National Provider Identifier is 1871992776, issued on Aug 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nampa, ID. The record was last updated on Aug 15, 2014.