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Advanced Integrated Medical Center
Family Nurse Practitioner in Blackfoot, Idaho
NPI 1033674916

Advanced Integrated Medical Center is a Family Nurse Practitioner based in Logan, ID and is specialized in Family. Advanced Integrated Medical Center practices in Blackfoot, ID. The NPI Number for Advanced Integrated Medical Center is 1033674916 and holds a License No. (Idaho).

The current practice location address for Advanced Integrated Medical Center is 1395 Nw Main St, Blackfoot, ID and can be reached out via phone at 208-785-0270 and via fax at 208-785-0683. You can also correspond with Advanced Integrated Medical Center through the mailing address at 1742 N 500 W APT 102, LOGAN, UT - 84341-2875 (mailing address contact number: 435-764-1775).

Location: 1395 Nw Main St, Blackfoot, ID, 84341-2875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033674916
Provider Name
Advanced Integrated Medical Center
Credential
Provider Entity Type
Organization
Address
1395 Nw Main St, Blackfoot, ID, 84341-2875
Phone Number
208-785-0270
Fax Number
208-785-0683
Provider Enumeration Date
02/05/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962456681 01 PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
1395 Nw Main St
City
Blackfoot
State
Idaho
Zip
83221-3936
Phone Number
208-785-0270
Fax Number
208-785-0683
person
Provider Business Mailing Address Details
Address
1395 Nw Main St
City
Blackfoot
State
Idaho
Zip
83221-3936
Phone Number
208-785-0270
Fax Number
208-785-0683
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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