IndividualActive
Kathleen Fagerland, CNM
NPI 1124214788 · Women's Health Clinical Nurse Specialist · Twin Falls, ID
Provider details
- NPI number
- 1124214788
- Entity type
- Individual
- Primary specialty
- Women's Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- CNM-41A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 2nd Ave N
Twin Falls, ID 83301-6158
Phone: (208) 734-9955
Fax: (208) 734-9966
Approximate (ZIP-level) locationGet directions
Mailing address
3668 N Harbor Ln
Boise, ID 83703-6914
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2007-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.