MS. Crissie Lynne Bacon, FNP

NPI #1871992776 in Nampa, Idaho

Provider Information

NPI Number
1871992776
Entity Type
Individual
Name
MS. Crissie Lynne Bacon, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Aug 15, 2014
Last Updated
Aug 15, 2014

Practice Location

Address
312 3RD ST S
City
Nampa
State
Idaho
ZIP Code
83651-3717
Phone
(208) 465-7121

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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