specializing in nurse practitioner in Chubbuck, Idaho

NPI: 1992408678

Provider Type

2

Practice Locations

Mailing Location

210 W BURNSIDE AVE STE D

CHUBBUCK, ID 83202

📞 2082525566

📠 2082131122

Practice Location

210 W BURNSIDE AVE STE D

CHUBBUCK, ID 83202

📞 2082525566

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/22/2023
Last Updated:11/2/2023

Credentials

Primary Credential: