Organization
IN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN JILL ROTH MSN, APRN, FNP-C (OWNER)
(208) 242-3723
Entity
Organization
Contact information
Practice address
1017 E YOUNG ST, POCATELLO, ID 83201-5237
(208) 425-6444
(208) 425-6477
Mailing address
1017 E YOUNG ST, POCATELLO, ID 83201-5237
(208) 425-6444
(208) 425-6477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1287A
ID
Other
Enumeration date
07/30/2018
Last updated
04/10/2020
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