Individual
ANNA MAKOVEC-FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
496 SHOUP AVE W, SUITE E, TWIN FALLS, ID 83301
(208) 733-2885
(208) 734-3352
Mailing address
496 SHOUP AVE W, SUITE E, TWIN FALLS, ID 83301
(208) 733-2885
(208) 734-3352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP233A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010029066
REGENCE BLUE SHIELD
ID
01
—
NPGT7
BLUE CROSS
ID
Enumeration date
07/30/2006
Last updated
02/26/2008
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