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Blue Lakes Gastroenterology Pllc
Nurse Practitioner in Twin Falls, Idaho
NPI 1821299553

Blue Lakes Gastroenterology Pllc is a Nurse Practitioner based in Twin Falls, ID. Blue Lakes Gastroenterology Pllc practices in Twin Falls, ID. The NPI Number for Blue Lakes Gastroenterology Pllc is 1821299553 and holds a License No. (Idaho).

The current practice location address for Blue Lakes Gastroenterology Pllc is 775 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-8300 and via fax at 208-733-8970.

Location: 775 Pole Line Rd W, Twin Falls, ID, 83301-5814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821299553
Provider Name
Blue Lakes Gastroenterology Pllc
Credential
Provider Entity Type
Organization
Address
775 Pole Line Rd W, Twin Falls, ID, 83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807132400 05 ID
institution
Provider Business Practice Location Address Details
Address
775 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
person
Provider Business Mailing Address Details
Address
775 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5814
Phone Number
208-814-8300
Fax Number
208-733-8970
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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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