Individual
EMILY NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 528-7655
Mailing address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-736A
ID
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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