Individual
ANNA BLONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2280 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 227-2100
(208) 227-2362
Mailing address
PO BOX 742358, ATLANTA, GA 30374-2358
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25763
ID
Other
Enumeration date
10/22/2019
Last updated
02/06/2026
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