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Individual

KARISSA THUESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 359-6900
Mailing address
301 N 3811 E, RIGBY, ID 83442-5186
(208) 497-8114

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
65959
ID

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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