institution
Santa Clara Pediatrics & Behavioral Health Pc
Pediatric Nurse Practitioner in Pocatello, Idaho
NPI 1538911094

Santa Clara Pediatrics & Behavioral Health Pc is a Pediatric Nurse Practitioner based in Pocatello, ID and is specialized in Pediatrics. Santa Clara Pediatrics & Behavioral Health Pc practices in Pocatello, ID. The NPI Number for Santa Clara Pediatrics & Behavioral Health Pc is 1538911094 and holds a License No. (Idaho).

The current practice location address for Santa Clara Pediatrics & Behavioral Health Pc is 452 S 6Th Ave, Pocatello, ID and can be reached out via phone at 847-970-8720.

Location: 452 S 6Th Ave, Pocatello, ID, 83201-5810
institution
Provider Profile Details
NPI Number
1538911094
Provider Name
Santa Clara Pediatrics & Behavioral Health Pc
Credential
Provider Entity Type
Organization
Address
452 S 6Th Ave, Pocatello, ID, 83201-5810
Phone Number
847-970-8720
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
452 S 6Th Ave
City
State
Zip
83201-5810
Phone Number
847-970-8720
Fax Number
person
Provider Business Mailing Address Details
Address
452 S 6Th Ave
City
State
Zip
83201-5810
Phone Number
847-970-8720
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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