| Doctor Name: | MS. ANN CUEVA |
| NPI Number: | 1164563680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCFNP |
| License Number: | N10829 |
| Business Practice Address: | 1252 Bennett Ave Suite B Burley, ID - 833182664 |
| Business Phone Number: | 2088783486 |
| Business Fax Number: | 2088782005 |
| Mailing Address: | 1252 Bennett Ave, Suite B BURLEY |
| State: | ID |
| Postal Code: | 833182664 |
| Phone Number: | 2088783486 |
| Fax Number: | 2088782005 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | N10829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |