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Evita Kvista
Gerontology Nurse Practitioner in Eagle, Idaho
NPI 1013594092

Evita Kvista is a Gerontology Nurse Practitioner based in Eagle, ID and is specialized in Gerontology. Evita Kvista practices in Eagle, ID. The NPI Number for Evita Kvista is 1013594092 and holds a License No. 65119 (Idaho).

The current practice location address for Evita Kvista is 225 S Linder Rd Apt B301, Eagle, ID and can be reached out via phone at 208-412-9622.

Location: 225 S Linder Rd Apt B301, Eagle, ID, 83616-4426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013594092
Provider Name
Evita Kvista
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 S Linder Rd Apt B301, Eagle, ID, 83616-4426
Phone Number
208-412-9622
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 S Linder Rd Apt B301
City
Eagle
State
Idaho
Zip
83616-4426
Phone Number
208-412-9622
Fax Number
person
Provider Business Mailing Address Details
Address
225 S Linder Rd Apt B301
City
Eagle
State
Idaho
Zip
83616-4426
Phone Number
208-412-9622
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
65119 (Idaho)
Definition
Definition to come...
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