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Individual

CATHERINE M. HARMSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
220 BANNOCK ST, MALAD CITY, ID 83252-5068
(208) 766-2600
(208) 766-4258
Mailing address
838 E 6600 S, UINTAH, UT 84405-9701
(801) 660-5466

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
223876-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
59987
ID

Other

Enumeration date
08/18/2006
Last updated
11/17/2021
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