Individual
KANDRALYN STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Contact information
Practice address
190 BULLOCK ST., CHUBBUCK, ID 83202-1928
(208) 992-5109
(208) 237-9029
Mailing address
PO BOX 1407, SUITE 16, IDAHO FALLS, ID 83403-1407
(208) 992-5109
(208) 237-9029
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
69207
ID
Other
Enumeration date
09/23/2016
Last updated
11/04/2024
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