Provider Demographics
NPI:1679464853
Name:ANDREWSON, KARINA (FNP-C)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:ANDREWSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12558 W ROSETTA DR
Mailing Address - Street 2:
Mailing Address - City:STAR
Mailing Address - State:ID
Mailing Address - Zip Code:83669-1103
Mailing Address - Country:US
Mailing Address - Phone:707-490-6957
Mailing Address - Fax:
Practice Address - Street 1:5418 N EAGLE RD STE 102
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0998
Practice Address - Country:US
Practice Address - Phone:208-580-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9371858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily