Organization
SANTA CLARA PEDIATRICS & BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE K SASSETTI APRN (OWNER)
(847) 970-8720
Entity
Organization
Contact information
Practice address
452 S 6TH AVE, POCATELLO, ID 83201-5810
(847) 970-8720
Mailing address
452 S 6TH AVE, POCATELLO, ID 83201-5810
(847) 970-8720
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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