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Individual

MR. JAMESEN BIRKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN

Contact information

Practice address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652
Mailing address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146643
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5379777022
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71968
ID

Other

Enumeration date
05/14/2020
Last updated
02/10/2023
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