Individual provider · Type 1 NPI

Sally Kupchock, NP

Nurse Practitioner · Idaho Falls, ID

NPI number 1063446094 Active

Practice location

1182 E 21st St
Idaho Falls, ID 83404-7003

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP737A (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Other nurse practitioner providers in Idaho Falls

See all in Idaho Falls →

About NPI 1063446094

Sally Kupchock, NP's National Provider Identifier is 1063446094, issued on Jul 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 30, 2007.