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Ms. Sally Kupchock, NP
Nurse Practitioner in Idaho Falls, Idaho
NPI 1063446094

Sally Kupchock is a Nurse Practitioner based in Idaho Falls, ID. Sally Kupchock practices in Idaho Falls, ID and has the professional credentials of NP. The NPI Number for Sally Kupchock is 1063446094 and holds a License No. NP737A (Idaho).

The current practice location address for Sally Kupchock is 1182 E 21St St, Idaho Falls, ID and can be reached out via phone at 208-227-6753. You can also correspond with Sally Kupchock through the mailing address at 1182 E 21ST ST, IDAHO FALLS, ID - 83404-7003 (mailing address contact number: 208-227-6753).

Location: 1182 E 21St St, Idaho Falls, ID, 83404-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063446094
Provider Name
Sally Kupchock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1182 E 21St St, Idaho Falls, ID, 83404-7003
Phone Number
208-227-6753
Fax Number
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPXT3 01 ID BLUE CROSS ID
institution
Provider Business Practice Location Address Details
Address
1182 E 21St St
City
Idaho Falls
State
Idaho
Zip
83404-7003
Phone Number
208-227-6753
Fax Number
person
Provider Business Mailing Address Details
Address
1182 E 21St St
City
Idaho Falls
State
Idaho
Zip
83404-7003
Phone Number
208-227-6753
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP737A (Idaho)
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.
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