Individual
PAULA JEAN SANDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 542-9080
(208) 542-9081
Mailing address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 542-9080
(208) 542-9081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64635
ID
Other
Enumeration date
04/20/2020
Last updated
02/26/2023
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