person
Mr. Randy Paul Vawdrey, NP
Primary Care Nurse Practitioner in Pocatello, Idaho
NPI 1376568493

Randy Paul Vawdrey is a Primary Care Nurse Practitioner based in Pocatello, ID and is specialized in Primary Care. Randy Paul Vawdrey practices in Pocatello, ID and has the professional credentials of NP. The NPI Number for Randy Paul Vawdrey is 1376568493 and holds a License No. NP-659 (Idaho).

The current practice location address for Randy Paul Vawdrey is 495 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-478-7422.

Location: 495 Yellowstone Ave, Pocatello, ID, 83201
person
Provider Profile Details
NPI Number
1376568493
Provider Name
Randy Paul Vawdrey
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
495 Yellowstone Ave, Pocatello, ID, 83201
Phone Number
208-478-7422
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
495 Yellowstone Ave
City
State
Zip
83201-4531
Phone Number
208-478-7422
Fax Number
person
Provider Business Mailing Address Details
Address
495 Yellowstone Ave
City
State
Zip
83201-4531
Phone Number
208-478-7422
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
NP-659 (Idaho)
Definition
Definition to come...
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