Organization · Type 2 NPI

Center Street Health Care LLC

Family Nurse Practitioner · Pocatello, ID

NPI number 1417104530 Active

About NPI 1417104530

Center Street Health Care LLC's National Provider Identifier is 1417104530, issued on Aug 20, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 30, 2008.