Heidi Ann Fanslow, PMHNP-BC

NPI #1003638255 in Meridian, Idaho

Provider Information

NPI Number
1003638255
Entity Type
Individual
Name
Heidi Ann Fanslow, PMHNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP-BC
Enumeration Date
Oct 29, 2024
Last Updated
Oct 29, 2024

Practice Location

Address
6830 N AGRARIAN AVE
State
Idaho
ZIP Code
83646-4532
Phone
(253) 951-8331

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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