institution
Center Street Health Care Llc
Family Nurse Practitioner in Pocatello, Idaho
NPI 1417104530

Center Street Health Care Llc is a Family Nurse Practitioner based in Pocatello, ID and is specialized in Family. Center Street Health Care Llc practices in Pocatello, ID. The NPI Number for Center Street Health Care Llc is 1417104530 and holds a License No. NP252A (Idaho).

The current practice location address for Center Street Health Care Llc is 1553 E Center St, Pocatello, ID and can be reached out via phone at 208-233-9355 and via fax at 208-233-9300. You can also correspond with Center Street Health Care Llc through the mailing address at 1553 E CENTER ST, POCATELLO, ID - 83201-4135 (mailing address contact number: 208-233-9355).

Location: 1553 E Center St, Pocatello, ID, 83201-4135
institution
Provider Profile Details
NPI Number
1417104530
Provider Name
Center Street Health Care Llc
Credential
Provider Entity Type
Organization
Address
1553 E Center St, Pocatello, ID, 83201-4135
Phone Number
208-233-9355
Fax Number
208-233-9300
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004383300 05 ID
institution
Provider Business Practice Location Address Details
Address
1553 E Center St
City
State
Zip
83201-4135
Phone Number
208-233-9355
Fax Number
208-233-9300
person
Provider Business Mailing Address Details
Address
1553 E Center St
City
State
Zip
83201-4135
Phone Number
208-233-9355
Fax Number
208-233-9300
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP252A (Idaho)
Definition
Definition to come...
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