Organization
MAGNO C. SANTOS MSN, FNP-C PLLC
Active
Other names
SunRise Mobile Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MAGNO C SANTOS MSN FNP-C (OWNER)
(208) 538-1963
Entity
Organization
Contact information
Practice address
2184 CHANNING WAY # 283, IDAHO FALLS, ID 83404-8034
(208) 538-1963
(208) 615-8005
Mailing address
PO BOX 271, RUPERT, ID 83350-0271
(208) 936-8206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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