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Teton Valley Healthcare, Inc
Family Nurse Practitioner in Driggs, Idaho
NPI 1417405606

Teton Valley Healthcare, Inc is a Family Nurse Practitioner based in Driggs, ID and is specialized in Family. Teton Valley Healthcare, Inc practices in Driggs, ID. The NPI Number for Teton Valley Healthcare, Inc is 1417405606 and holds a License No. 31 (Idaho).

The current practice location address for Teton Valley Healthcare, Inc is 30 E Little Ave, Driggs, ID and can be reached out via phone at 208-354-6302 and via fax at 208-354-3158. You can also correspond with Teton Valley Healthcare, Inc through the mailing address at 120 E HOWARD ST, DRIGGS, ID - 83422-5112 (mailing address contact number: 208-354-6302).

Location: 30 E Little Ave, Driggs, ID, 83422-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417405606
Provider Name
Teton Valley Healthcare, Inc
Credential
Provider Entity Type
Organization
Address
30 E Little Ave, Driggs, ID, 83422-5112
Phone Number
208-354-6302
Fax Number
208-354-3158
Provider Enumeration Date
09/15/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6 01 RETAIL CLINIC
institution
Provider Business Practice Location Address Details
Address
30 E Little Ave
City
Driggs
State
Idaho
Zip
83422-5138
Phone Number
208-354-6302
Fax Number
208-354-3158
person
Provider Business Mailing Address Details
Address
120 E Howard St
City
Driggs
State
Idaho
Zip
83422-5112
Phone Number
208-354-6302
Fax Number
208-354-3158
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
31 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
31 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
31 (Idaho)
Definition
Definition to come...
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