DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI ANN FANSLOW, PMHNP-BC

Active Sole Proprietor

HEIDI ANN FANSLOW, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MERIDIAN, Idaho. NPI 1003638255 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · MERIDIAN, ID

Registration Details

NPI Number
1003638255
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2024 (1.7594997258436 yrs)
Last Updated
Oct 29, 2024
License
3861978 (ID)
Sole Proprietor
Yes

Practice Information

Address
6830 N AGRARIAN AVE
MERIDIAN, ID, 836464532
Browse ID providers · Browse ZIP 83646
Phone
2539518331

Other Psychiatric/Mental Health Nurse Practitioner Providers in MERIDIAN, ID

Name Credential NPI
KERRIE L PETECH R.N. ARNP-CNP 1265414544
MS. SUSAN M DERIVAS CNP 1851493829
MARK A JEPSON NP 1306089271
MR. JEREMY LEE HURST RN, MSN, NP-C 1275816902
MRS. REBEKAH DANIELLE NATION APRN, PMHNP-BC 1134497464
ANN MARIE COREY N.P. 1821359522
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.