Individual
HYRUM BERT PRESTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3245 CHANNING WAY, IDAHO FALLS, ID 83404-7536
(208) 227-2790
Mailing address
3245 CHANNING WAY, IDAHO FALLS, ID 83404-7536
(208) 227-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8061678
ID
Other
Enumeration date
04/13/2020
Last updated
07/31/2024
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