Individual
JUSTIN KYLER CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2900 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3857
Mailing address
1005 TERRY DR, IDAHO FALLS, ID 83404-5122
(208) 541-8879
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8571940
ID
Other
Enumeration date
03/04/2025
Last updated
05/12/2025
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