INTEGRATED FAMILY & COMMUNITY SERVICES
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1013331545- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3355 S HOLMES AVE, IDAHO FALLS, ID, 834047981
- Phone
- (208) 523-2080
- Fax
- (208) 523-2799
Specialties & Taxonomies
Social Worker, Clinical
License: ID #lcsw-1103
Nurse Practitioner, Family
Primary License: ID #np-1180a