Individual
ANDY CHRISTIAN VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2111 NORTH TEMPLE DRIVE, TWIN FALLS, ID 83301
(208) 432-2069
Mailing address
2111 NORTH TEMPLE DRIVE, TWIN FALLS, ID 83301
(208) 432-2069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69234
ID
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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