SearchIdaho363LF0000X

Crissie Bacon, FNP

NPI 1871992776 · on the registry since 2014 · sole proprietor

Practice

Address
312 3rd St S
Nampa, ID 83651
Phone
(208) 465-7121
Organisation at this address
Xl Hospice
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-15

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