Organization
VISTA HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE JONES FNP-C (PRESIDENT)
(208) 881-0902
Entity
Organization
Contact information
Practice address
556 TREJO ST STE B, REXBURG, ID 83440-2626
(208) 351-6981
Mailing address
556 TREJO STREET SUITE B, REXBURG, ID 83440-2625
(208) 351-6981
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NP-914A
ID
363L00000X
Nurse Practitioner
NP-914A
ID
363LF0000X
Family Nurse Practitioner
NP-914A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP-914A
ID
363LW0102X
Women's Health Nurse Practitioner
NP-914A
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982830345
—
ID
Enumeration date
07/26/2017
Last updated
11/17/2017
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