Organization · Type 2 NPI

Grand Teton Gastroenterology

Nurse Practitioner · Idaho Falls, ID

NPI number 1457520900 Active

Practice location

2770 Cortez Ave
Idaho Falls, ID 83404-7590

Fax (208) 528-4242

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

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About NPI 1457520900

Grand Teton Gastroenterology's National Provider Identifier is 1457520900, issued on Feb 28, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 29, 2008.