Individual
STEPHANIE ANN ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Mailing address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70760
ID
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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