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Vista Healthcare Pc
Obstetrics & Gynecology Nurse Practitioner in Rexburg, Idaho
NPI 1720502370

Vista Healthcare Pc is a Obstetrics & Gynecology Nurse Practitioner based in Rexburg, ID and is specialized in Obstetrics & Gynecology. Vista Healthcare Pc practices in Rexburg, ID. The NPI Number for Vista Healthcare Pc is 1720502370 and holds a License No. NP-914A (Idaho).

The current practice location address for Vista Healthcare Pc is 556 Trejo St Ste B, Rexburg, ID and can be reached out via phone at 208-351-6981.

Location: 556 Trejo St Ste B, Rexburg, ID, 83440-2625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720502370
Provider Name
Vista Healthcare Pc
Credential
Provider Entity Type
Organization
Address
556 Trejo St Ste B, Rexburg, ID, 83440-2625
Phone Number
208-351-6981
Fax Number
Provider Enumeration Date
07/26/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982830345 05 ID
institution
Provider Business Practice Location Address Details
Address
556 Trejo St Ste B
City
Rexburg
State
Idaho
Zip
83440-2626
Phone Number
208-351-6981
Fax Number
person
Provider Business Mailing Address Details
Address
556 Trejo St Ste B
City
Rexburg
State
Idaho
Zip
83440-2626
Phone Number
208-351-6981
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP-914A ()
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.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-914A (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
NP-914A (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
NP-914A (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
NP-914A (Idaho)
Definition
Definition to come...
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