Individual provider · Type 1 NPI
Jamie Gudmunson
Family Nurse Practitioner · St. Anthony, ID
NPI number
1669853719
Active
Practice location
30 W Main St
St. Anthony, ID 83445-2113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1574A (ID) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in St. Anthony
About NPI 1669853719
Jamie Gudmunson's National Provider Identifier is 1669853719, issued on Jun 15, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Anthony, ID. The record was last updated on Jan 2, 2023.