Individual
MS. SUNNY RAICHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404-6372
(208) 357-4633
Mailing address
4224 E 410 N, RIGBY, ID 83442-5518
(208) 589-4609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66088
ID
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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