Individual
KRISTEN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP/C
Contact information
Practice address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-2383
Mailing address
391 N 1ST E, DRIGGS, ID 83422-5162
(208) 354-2475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-818A
ID
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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