Individual
HEIDI GREGERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
Mailing address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
(208) 535-0550
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
57910
ID
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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