specializing in nurse practitioner in Chubbuck, Idaho

NPI: 1679183388

Provider Type

2

Practice Locations

Mailing Location

190 W BURNSIDE AVE STE C

CHUBBUCK, ID 83202

📞 2084178842

📠 8337280327

Practice Location

190 W BURNSIDE AVE STE C

CHUBBUCK, ID 83202

📞 2084178842

📠 8337280327

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/6/2020
Last Updated:11/7/2022

Credentials

Primary Credential:
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