specializing in nurse practitioner in Blackfoot, Idaho

NPI: 1033674916

Provider Type

2

Practice Locations

Mailing Location

1742 N 500 W APT 102

LOGAN, UT 84341

📞 4357641775

Practice Location

1395 NW MAIN ST

BLACKFOOT, ID 83221

📞 2087850270

📠 2087850683

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/5/2019
Last Updated:6/18/2020

Credentials

Primary Credential:
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