Grand Teton Gastroenterology in Idaho Falls - Nurse Practitioner
Grand Teton Gastroenterology - NPI 1457520900
Grand Teton Gastroenterology is a Nurse Practitioner in Idaho Falls, Idaho. Grand Teton Gastroenterology practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Grand Teton Gastroenterology is 1457520900. The last update date is 2008-02-29.
Grand Teton Gastroenterology's current location address is 2770 Cortez Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085224000 and fax number 2085284242. The mailing address for Grand Teton Gastroenterology is 2770 Cortez Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Teton Gastroenterology |
|---|---|
| Address | 2770 Cortez Ave, Idaho Falls, Idaho |
| Phone Number | 2085224000 |
| Fax Number | 2085284242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Lemons Dawn Melissa |
| Credentials | CCS-P |
| Telephone Number | 2085284255 |
NPI Number Detail
| NPI Number | 1457520900 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 2770 Cortez Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047590 |
| Phone Number | 2085224000 |
| Fax Number | 2085284242 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Grand Teton Gastroenterology by the Centers for Medicare & Medicaid Services (CMS)?
The Grand Teton Gastroenterology has been assigned the NPI (National Provider Identifier) 1457520900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Grand Teton Gastroenterology is physically located?
The Grand Teton Gastroenterology is physically situated at the following address: 2770 Cortez Ave, Idaho Falls, ID, 834047590.
What is the area of specialization for Grand Teton Gastroenterology, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grand Teton Gastroenterology is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
When was the Grand Teton Gastroenterology's 1457520900 issued?
The Grand Teton Gastroenterology's 1457520900 was issued on 2008-02-28.
When was the information related to Grand Teton Gastroenterology most recently updated or refreshed?
The details pertaining to the Grand Teton Gastroenterology, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-29.
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