Michonne Pieksma

NPI 1407283393 · on the registry since 2013

Practice

Address: 2423 S Georgia Ave
Caldwell, ID 83605
Phone: (208) 455-1788
Fax: (208) 455-2044
Organisation at this address: Carson Legacy Llc
Peak Recovery Llc
Idaho Diagnostic Sleep Lab, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho