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Susan Cheeseman, NP
Neonatal Nurse Practitioner in Boise, Idaho
NPI 1891717609

Susan Cheeseman is a Neonatal Nurse Practitioner based in Boise, ID and is specialized in Neonatal. Susan Cheeseman practices in Boise, ID and has the professional credentials of NP. The NPI Number for Susan Cheeseman is 1891717609 and holds a License No. NP582A (Idaho).

The current practice location address for Susan Cheeseman is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2222.

Location: 190 E Bannock St, Boise, ID, 83712-6241
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Provider Profile Details
NPI Number
1891717609
Provider Name
Susan Cheeseman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-2222
Fax Number
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP582A 01 ID STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2222
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
NP582A (Idaho)
Definition
Definition to come...
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