Individual
ELAINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
711 RIGBY LAKE DR STE 1500, RIGBY, ID 83442-5374
(208) 745-5021
Mailing address
850 W 5000 S, REXBURG, ID 83440-4314
(208) 201-4336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9271266
ID
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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