KATHERINE HAWORTH
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1780319392- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 190 E BANNOCK ST, BOISE, ID, 837126241
- Phone
- (208) 381-5500
Specialties & Taxonomies
Nurse Practitioner, Acute Care
License: ID #73564
Nurse Practitioner
Primary License: ID #73564