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MS. KELLEEN LOUISE FAKENBRIDGE NP
NPI 1710197264
Nurse Practitioner - Family in Boise, ID

Active since May 23, 2007
8324 W NORTHVIEW ST, SUITE 100, BOISE, ID 83704(208) 376-8337(208) 376-8344 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelleen Louise Fakenbridge Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLEEN LOUISE FAKENBRIDGE NP (NPI 1710197264) is an individual family provider in Boise, Idaho, licensed in Idaho (NP732) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1710197264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLEEN LOUISE FAKENBRIDGECredential: NP
Location Address8324 W NORTHVIEW ST, SUITE 100Boise, ID 83704-7184
Mailing Address8324 W Northview St, Suite 101Boise, ID 83704-7184 · (208) 376-8337
Phone(208) 376-8337
Fax(208) 376-8344
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 28, 2012
✔ NPI 1710197264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP732
8324 W NORTHVIEW ST, Boise, ID 83704
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelleen Fakenbridge's NPI number?

The NPI number for Kelleen Fakenbridge is 1710197264. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kelleen Fakenbridge located?

Kelleen Fakenbridge practices at 8324 W Northview St Suite 100, Boise, ID 83704. The listed phone number is (208) 376-8337.

What is Kelleen Fakenbridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelleen Fakenbridge was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.