Individual
CHRISTY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1327 E 17TH STREET, IDAHO FALLS, ID 83404-8340
(208) 538-3122
Mailing address
1327 E 17TH ST, IDAHO FALLS, ID 83404-6235
(208) 538-3122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06171860
ID
Other
Enumeration date
07/20/2017
Last updated
08/03/2017
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