Individual
STEPHANIE DIANNE FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1250
(208) 239-3717
Mailing address
777 HOSPITAL WAY, PRE-SURGERY CLINIC, POCATELLO, ID 83201-5175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27185
ID
Other
Enumeration date
06/17/2014
Last updated
06/23/2014
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