Individual provider · Type 1 NPI

Samantha De Bruyn Kops, APRN, FNP-C

Family Nurse Practitioner · Idaho Falls, ID

NPI number 1730744947 Active

Practice location

2065 E 17th St Ste C
Idaho Falls, ID 83404-8042

Call (208) 522-6106 Map

Mailing address

6405 S 3000 E Ste 201
Salt Lake City, UT 84121-6990

Other practice locations

  • 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404-8333 · (208) 932-7024

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X61296 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1730744947

Samantha De Bruyn Kops, APRN, FNP-C's National Provider Identifier is 1730744947, issued on May 2, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 5, 2024.