Individual
TIM ROBERT SCHUIJT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 S UTAH AVE # 5093, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Mailing address
765 S UTAH AVE # 5093, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70145
ID
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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