Individual
COLLEEN CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
444 HOSPITAL WAY, POCATELLO, ID 83201-2701
(208) 478-5600
(208) 478-8500
Mailing address
607 UNIVERSITY DR, POCATELLO, ID 83201-3433
(208) 251-2328
(208) 478-8500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP516A
ID
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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