Individual
KATHERINE OLIVIA ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83209-0002
(208) 697-9439
Mailing address
PO BOX 245, MALAD CITY, ID 83252-0245
(208) 697-9439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69332
ID
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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