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Samantha De Bruyn Kops, APRN,FNP-C
Family Nurse Practitioner in Idaho Falls, Idaho
NPI 1730744947

Samantha De Bruyn Kops is a Family Nurse Practitioner based in Salt Lake City, ID and is specialized in Family. Samantha De Bruyn Kops practices in Idaho Falls, ID and has the professional credentials of APRN,FNP-C. The NPI Number for Samantha De Bruyn Kops is 1730744947 and holds a License No. 61296 (Idaho).

The current practice location address for Samantha De Bruyn Kops is 2065 E 17Th St Ste C, Idaho Falls, ID and can be reached out via phone at 208-522-6106.

Location: 2065 E 17Th St Ste C, Idaho Falls, ID, 84121-6990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730744947
Provider Name
Samantha De Bruyn Kops
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2065 E 17Th St Ste C, Idaho Falls, ID, 84121-6990
Phone Number
208-522-6106
Fax Number
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2065 E 17Th St Ste C
City
Idaho Falls
State
Idaho
Zip
83404-8042
Phone Number
208-522-6106
Fax Number
person
Provider Business Mailing Address Details
Address
2065 E 17Th St Ste C
City
Idaho Falls
State
Idaho
Zip
83404-8042
Phone Number
208-522-6106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
61296 (Idaho)
Definition
Definition to come...
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