Individual
TINA GUEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
85 S 5TH W, LAVA HOT SPRINGS, ID 83246
(208) 776-5202
(844) 492-9775
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60443
ID
Other
Enumeration date
10/02/2019
Last updated
01/17/2024
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