IndividualActive
Kristie Tamer, AGACNP-BC
NPI 1679189393 · Acute Care Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1679189393
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 95015018 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3525 E Louise Dr Ste 400
Meridian, ID 83642-6303
Phone: (208) 322-1680
Fax: (208) 884-3096
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 757 Westwood PlzLos Angeles, CA 90095-8358Phone: (310) 267-7740
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.