Individual
GJORI NYKREIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5286
(208) 346-7500
Mailing address
430 W 2ND S APT 4004, REXBURG, ID 83440-1328
(253) 380-8227
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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