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Angela Kirsten Johnston, NP-C
Family Nurse Practitioner in Idaho Falls, Idaho
NPI 1508483173

Angela Kirsten Johnston is a Family Nurse Practitioner based in Chubbuck, ID and is specialized in Family. Angela Kirsten Johnston practices in Idaho Falls, ID and has the professional credentials of NP-C. The NPI Number for Angela Kirsten Johnston is 1508483173 and holds a License No. 65180 (Idaho).

The current practice location address for Angela Kirsten Johnston is 2243 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-851-2381.

Location: 2243 E 17Th St, Idaho Falls, ID, 83202-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508483173
Provider Name
Angela Kirsten Johnston
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2243 E 17Th St, Idaho Falls, ID, 83202-1674
Phone Number
208-851-2381
Fax Number
Provider Enumeration Date
06/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2243 E 17Th St
City
Idaho Falls
State
Idaho
Zip
83404-6519
Phone Number
208-851-2381
Fax Number
person
Provider Business Mailing Address Details
Address
2243 E 17Th St
City
Idaho Falls
State
Idaho
Zip
83404-6519
Phone Number
208-851-2381
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
65180 (Idaho)
Definition
Definition to come...
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