Sally Kupchock in Idaho Falls - Nurse Practitioner
Sally Kupchock - NPI 1063446094
Sally Kupchock is a Nurse Practitioner in Idaho Falls, Idaho. Sally Kupchock practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Sally Kupchock is 1063446094. The last update date is 2007-11-30.
Sally Kupchock's current location address is 1182 E 21st St, Idaho Falls, Idaho. You can contact this provider via phone number 2082276753. The mailing address for Sally Kupchock is 1182 E 21st St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally Kupchock |
|---|---|
| Address | 1182 E 21st St, Idaho Falls, Idaho |
| Phone Number | 2082276753 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1063446094 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 1182 E 21st St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047003 |
| Phone Number | 2082276753 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP737A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NPXT3 | ID | BLUE CROSS ID |
Post Comment/ Review Below
What is the unique identifier code issued to Sally Kupchock by the Centers for Medicare & Medicaid Services?
The Sally Kupchock has been assigned the NPI (National Provider Identifier) 1063446094. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sally Kupchock?
The Sally Kupchock is physically situated at 1182 E 21St St, in the city of Idaho Falls, state of ID, with the postal code 834047003.
What is Sally Kupchock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sally Kupchock is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063446094 to Sally Kupchock?
The Sally Kupchock received its 1063446094 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the Sally Kupchock's information last updated?
The Sally Kupchock's information was last updated on 2007-11-30.