CENTER STREET HEALTH CARE LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1417104530- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1553 E CENTER ST, POCATELLO, ID, 832014135
- Phone
- (208) 233-9355
- Fax
- (208) 233-9300
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #NP252A