Nina Kellie Lateefee Abul-husn, MD, MSPH | |
1603 12th Ave Rd Ste B, Nampa, ID 83686-6100 | |
(120) 844-2009 | |
(208) 375-2217 |
Full Name | Nina Kellie Lateefee Abul-husn |
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Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1603 12th Ave Rd Ste B, Nampa, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538421094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | M-13784 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jx2 Llc | 2163555053 | 3 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Jx2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194962829 PECOS PAC ID: 2163555053 Enrollment ID: O20100728001248 |
Entity Name | Raise The Bottom Training & Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962707166 PECOS PAC ID: 0244668341 Enrollment ID: O20200604002688 |
Mailing Address | Practice Location Address |
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Nina Kellie Lateefee Abul-husn, MD, MSPH 1603 12th Ave Rd Ste B, Nampa, ID 83686-6100 Ph: (120) 844-2009 | Nina Kellie Lateefee Abul-husn, MD, MSPH 1603 12th Ave Rd Ste B, Nampa, ID 83686-6100 Ph: (120) 844-2009 |
Ben Terry, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 | |
Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Jason Johnston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651 Phone: 208-466-6567 Fax: 208-466-7922 | |
Stuart Austin Black Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Heidi Elizabeth Shields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Robert B Buxton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 Phone: 208-302-6800 Fax: 208-302-6855 | |
Dora Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217 |