Provider Demographics
NPI:1851394282
Name:KAISER, VERLENE DONITA (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:VERLENE
Middle Name:DONITA
Last Name:KAISER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 STARCREST DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-8420
Mailing Address - Country:US
Mailing Address - Phone:208-345-2862
Mailing Address - Fax:208-342-1158
Practice Address - Street 1:2739 STARCREST DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83712-8420
Practice Address - Country:US
Practice Address - Phone:208-345-2862
Practice Address - Fax:208-342-1158
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-113A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily