Individual
MIRANDA CHRISTINE OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
2680 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-7667
Mailing address
1067 W 125 S, BLACKFOOT, ID 83221-6058
(208) 317-6285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57772
ID
Other
Enumeration date
02/01/2018
Last updated
11/25/2019
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