Firth Medical Center Pllc

NPI 1740544089 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1740544089
Enumeration Date 07/02/2012
Last Updated 02/19/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KATHLEEN KATHLEEN
Position FAMILY NURSE PRACTITIONER
Phone (208) 346-6614
Fax (208) 346-6638
Practice Location
114 S MAIN ST
FIRTH ID, 83236-1168, US
Phone (208) 346-6614
Fax (208) 346-6638
Business Location
114 S MAIN ST
FIRTH ID, 83236-1168, US
Phone (208) 346-6614
Fax (208) 346-6638
Toxanomy
Taxonomy Code 363LF0000X
License State Idaho
License Number NP-657A
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According to our database, Firth Medical Center Pllc NPI is 1740544089, taxonomy code is 363LF0000X and license number is NP-657A, license state is located at Idaho. Firth Medical Center Pllc physically located at 114 S Main St, Firth ID, 83236-1168. NPI Number 1033115704 has the healthcare provider type.

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1740544089 NPI number is provided on an as is basis without warranty of any kind. 1740544089 is maintained by the National Plan & Provider Enumeration System. The contents of Firth Medical Center Pllc are for informational purposes only.