Search › Idaho › 208000000X
Kailyn Wiersma
NPI 1508393976 · on the registry since 2017
Practice
- Address
- 1620 S Celebration Ave
Meridian, ID 83642 - Phone
- (208) 884-1030
- Organisation at this address
- Treasure Valley Pediatrics
Treasure Valley Service CoordinationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1500 E Medical Center Dr Spc 5718, Ann Arbor, MI
- 200 Arnet St, Ypsilanti, MI
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
208000000X - Licence states on file
- MI, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho