Individual
KYLEE SCHAAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
187 E 13TH ST, IDAHO FALLS, ID 83404-5305
(208) 497-0500
Mailing address
461 MAPLE DR, REXBURG, ID 83440-2034
(208) 569-1016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74550
ID
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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