Individual
TREVOR R BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2730 CHANNING WAY, IDAHO FALLS, ID 83404-5049
(208) 542-7100
(208) 542-7150
Mailing address
2730 CHANNING WAY, IDAHO FALLS, ID 83404-5049
(208) 542-7100
(208) 542-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1146A
ID
Other
Enumeration date
02/16/2012
Last updated
09/11/2012
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