| Heidi Ann Fanslow, PMHNP-BC | |
|
6830 N Agrarian Ave, Meridian, ID 83646-4532 | |
| (253) 951-8331 | |
| Not Available |
| Full Name | Heidi Ann Fanslow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 6830 N Agrarian Ave, Meridian, 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 |
|---|---|---|---|
| 1003638255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3861978 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Behavioral Health Services | 5991860413 | 32 |
| Entity Name | Access Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487700589 PECOS PAC ID: 5991860413 Enrollment ID: O20090217000751 |
| Entity Name | Nvelup Idaho Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184329070 PECOS PAC ID: 4789046400 Enrollment ID: O20230814000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Ann Fanslow, PMHNP-BC 6830 N Agrarian Ave, Meridian, ID 83646-4532 Ph: (253) 951-8331 | Heidi Ann Fanslow, PMHNP-BC 6830 N Agrarian Ave, Meridian, ID 83646-4532 Ph: (253) 951-8331 |
Jennifer Lytle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1526 W Ustick Rd Ste 110, Meridian, ID 83646 Phone: 208-370-5888 | |
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Michael Pahang, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-288-4279 | |
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