SearchIdaho363L00000X

Jennifer Mimish, CNM, WHNP

NPI 1821485012 · on the registry since 2015 · sole proprietor

Practice

Address
1301 S Millstream Dr
Nampa, ID 83686
Phone
(208) 352-2290

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
364SW0102X
367A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-05

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