Individual
KIRSTIN MOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Mailing address
5447 CORY LN, AMMON, ID 83406-4848
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
77821
ID
Other
Enumeration date
01/16/2024
Last updated
03/08/2024
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