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Derek Richard Whitmill
Family Nurse Practitioner in Idaho Falls, Idaho
NPI 1962919662

Derek Richard Whitmill is a Family Nurse Practitioner based in Idaho Falls, ID and is specialized in Family. Derek Richard Whitmill practices in Idaho Falls, ID. The NPI Number for Derek Richard Whitmill is 1962919662 and holds a License No. 57453 (Idaho).

The current practice location address for Derek Richard Whitmill is 1995 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-357-9193.

Location: 1995 E 17Th St, Idaho Falls, ID, 83404-7138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962919662
Provider Name
Derek Richard Whitmill
Credential
Provider Entity Type
Individual
Gender
Male
Address
1995 E 17Th St, Idaho Falls, ID, 83404-7138
Phone Number
208-357-9193
Fax Number
Provider Enumeration Date
01/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1995 E 17Th St
City
Idaho Falls
State
Idaho
Zip
83404-6493
Phone Number
208-357-9193
Fax Number
person
Provider Business Mailing Address Details
Address
1995 E 17Th St
City
Idaho Falls
State
Idaho
Zip
83404-6493
Phone Number
208-357-9193
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
57453 (Idaho)
Definition
Definition to come...
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