Individual provider · Type 1 NPI

Kamilla Gundersen, NP

Family Nurse Practitioner · Pocatello, ID

NPI number 1649756404 Active

Practice location

777 Hospital Way
Pocatello, ID 83207

Call (208) 220-3222 Map

Mailing address

777 Hospital Way
Pocatello, ID 83204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X58907 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1649756404

Kamilla Gundersen, NP's National Provider Identifier is 1649756404, issued on Jul 16, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 16, 2018.