Search

-- AUDREY DALLEY -- LPN

Individual Provider (NPI-1) Active

Licensed Practical Nurse

Provider Information

NPI Number
1144330374
Provider Type
Individual Provider (NPI-1)
Credentials
LPN
Status
Active

Contact & Location

Address
496 A ST, IDAHO FALLS, ID, 834023617
Phone
(208) 552-7100
Fax
(208) 552-7101

Specialties & Taxonomies

Licensed Practical Nurse Primary License: ID #PN8030

All Addresses

MAILING

299 JEFFERSON ST

BLACKFOOT, ID, 832211818

(208) 785-5152

LOCATION

496 A ST

IDAHO FALLS, ID, 834023617

(208) 552-7100