Basic Information
Provider Information
NPI: 1962451138
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POINIER
FirstName: ANNE
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 E HAWAII AVE
Address2:  
City: NAMPA
State: ID
PostalCode: 836866099
CountryCode: US
TelephoneNumber: 2084633244
FaxNumber: 2084633388
Practice Location
Address1: 3277 E LOUISE DR STE 200
Address2:  
City: MERIDIAN
State: ID
PostalCode: 836429360
CountryCode: US
TelephoneNumber: 2084633000
FaxNumber: 2088482979
Other Information
ProviderEnumerationDate: 05/08/2006
LastUpdateDate: 01/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XM7803IDY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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