Individual
DAN HUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
Mailing address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68856
ID
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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