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Contact Information

KYIRSTY BOWER, FNP
6533 W EMERALD ST
BOISE, ID83704-8737
 Phone: 208-302-5200
 Fax: 208-302-5225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYIRSTY BOWER · (Female)

NPI Number 1740679356
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/20/2015
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 73106
  • OR License # 202005744NP
  • WA License # AP61163603
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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