Monica J Nealis in Idaho Falls - Physician Assistant
Monica J Nealis - NPI 1073676805
Monica J Nealis is a Physician Assistant in Idaho Falls, Idaho. Monica J Nealis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Monica J Nealis is 1073676805. The last update date is 2017-04-20.
Monica J Nealis's current location address is 1550 Elk Creek Dr, Idaho Falls, Idaho. You can contact this provider via phone number 2085295942 and fax number 2085295951. The mailing address for Monica J Nealis is 1550 Elk Creek Dr, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica J Nealis |
|---|---|
| Address | 1550 Elk Creek Dr, Idaho Falls, Idaho |
| Phone Number | 2085295942 |
| Fax Number | 2085295951 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073676805 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2017-04-20 |
Provider Mailing Address Detail
| Address | 1550 Elk Creek Dr |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048322 |
| Phone Number | 2085295942 |
| Fax Number | 2085295951 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | RPA-214 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10017186 | ID | BLUE SHIELD OF IDAHO | |
| PAIN1 | ID | BLUE CROSS OF IDAHO | |
| 805023600 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Monica J Nealis by the Centers for Medicare & Medicaid Services?
The Monica J Nealis has been assigned the NPI (National Provider Identifier) 1073676805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Monica J Nealis's facilities are geographically located?
The facilities of Monica J Nealis are physically situated at the following location: 1550 Elk Creek Dr, Idaho Falls, ID, 834048322.
What is the area of specialization for Monica J Nealis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Monica J Nealis is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Monica J Nealis's 1073676805 issued?
The Monica J Nealis's 1073676805 was issued on 2006-12-19.
When was the information related to Monica J Nealis most recently updated or refreshed?
The details pertaining to the Monica J Nealis, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-20.