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Organization
WOMEN'S HEALTHCARE ASSOCIATES
Active
Organization
WOMEN'S HEALTHCARE ASSOCIATES
Active
Other names
Rosemark WomenCare Specialists (Mid-level Group)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA E GNEITING (OPERATIONS MANAGER)
(208) 557-2910
Entity
Organization
Contact information
Practice address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2900
(208) 557-4973
Mailing address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2981
(208) 557-2910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA410
ID
363L00000X
Nurse Practitioner
NP607A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806256200
—
ID
Enumeration date
06/28/2007
Last updated
05/05/2008
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