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Grand Teton Gastroenterology
Nurse Practitioner in Idaho Falls, Idaho
NPI 1457520900

Grand Teton Gastroenterology is a Nurse Practitioner based in Idaho Falls, ID. Grand Teton Gastroenterology practices in Idaho Falls, ID. The NPI Number for Grand Teton Gastroenterology is 1457520900 and holds a License No. (Idaho).

The current practice location address for Grand Teton Gastroenterology is 2770 Cortez Ave, Idaho Falls, ID and can be reached out via phone at 208-522-4000 and via fax at 208-528-4242.

Location: 2770 Cortez Ave, Idaho Falls, ID, 83404-7590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457520900
Provider Name
Grand Teton Gastroenterology
Credential
Provider Entity Type
Organization
Address
2770 Cortez Ave, Idaho Falls, ID, 83404-7590
Phone Number
208-522-4000
Fax Number
208-528-4242
Provider Enumeration Date
02/28/2008
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2770 Cortez Ave
City
Idaho Falls
State
Idaho
Zip
83404-7590
Phone Number
208-522-4000
Fax Number
208-528-4242
person
Provider Business Mailing Address Details
Address
2770 Cortez Ave
City
Idaho Falls
State
Idaho
Zip
83404-7590
Phone Number
208-522-4000
Fax Number
208-528-4242
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
(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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