Provider Demographics
NPI:1285005801
Name:FALKNER, MICHAELA (NMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:
Last Name:FALKNER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 W EMERALD ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-2036
Mailing Address - Country:US
Mailing Address - Phone:208-338-0405
Mailing Address - Fax:
Practice Address - Street 1:4219 W EMERALD ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-2036
Practice Address - Country:US
Practice Address - Phone:208-338-0405
Practice Address - Fax:208-422-9957
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-835175F00000X
AZ15-1505175F00000X
IDNMD-0031175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath