Individual
CARISA DAWN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
370 NORTH HAVEN DRIVE, TWIN FALLS, ID 83301-6178
(208) 733-1112
Mailing address
107 RAINBOW CIR, BUHL, ID 83316-1241
(208) 316-1219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12180577
ID
Other
Enumeration date
08/28/2019
Last updated
03/05/2020
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