MISS BRIGITTA PANTHER


Address: 418 W Reese St, Boise, ID 83706-6233
Phone: 2085710386

MISS BRIGITTA PANTHER (NPI# 1104309657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104309657
Entity Type Individual
Full Name MISS BRIGITTA PANTHER
Credential PMHNP-BC
Practice Address 418 W Reese St
Boise
ID 83706-6233
Practice Telephone 2085710386
Mailing Telephone 2085710386
Enumeration Date 2018-09-11
Last Update Date 2018-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
59231 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 418 W REESE ST
City BOISE
State ID
Zip Code 83706-6233

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1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1336413459 Cheryl Suhr Nurse Practitioner 10840 W Wasdale Dr, Boise, ID 83709-7170 2012-03-07
1679898225 Shawna L Kuehne Nurse Practitioner 1902 Judith Ln Ste 110, Boise, ID 83705-5235 2010-04-06
1841529310 Carolyn Corbett Nurse Practitioner 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 2009-12-13
1306089271 Mark A Jepson Nurse Practitioner 1919 W State St, Boise, ID 83702-3958 2009-04-08
1548300924 Gia Swope Nurse Practitioner 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 2007-02-07
1043392756 Satu H. Woodland Nurse Practitioner 3152 S. Bown Way # 102, Boise, ID 83706 2006-10-20
1295735801 Karen Lenore Schumacher Nurse Practitioner 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 2005-07-26
1710593363 Laura Lyn Allen Nurse Practitioner 3152 S Bown Way Ste 102, Boise, ID 83706-5456 2020-09-18
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Competitor

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City BOISE
Zip Code 83706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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